Northland Complete Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NORTHLAND COMPLETE COUNSELING LLC

Practice address

1200 NW South Outer Rd Ste 306
Blue Springs, MO 64015-3059

Phone

(816) 379-3007

Fax

(816) 379-3745

NPI assigned

Sep 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordan Davis

Title

Office Manager

Phone

(816) 379-3007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael James Davis, LPC

  • Professional Counselor
  • Blue Springs, MO
  • NPI 1306186978
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1821648205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CONCORD CIR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299719",
            "telephone_number": "816-379-3022",
            "fax_number": "816-379-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD STE 306",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153059",
            "telephone_number": "816-379-3007",
            "fax_number": "816-379-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND COMPLETE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-379-3007"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.