Individual provider Active NPI

Amy Marie Tibbitts, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1841349933
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2000174524 Issued in MO
Practice address
2029 Buchanan St
Kansas City, MO 64116-3405
Phone
(816) 221-0305
Fax
(816) 221-9121
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2000174524 MO Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2007 KS

Addresses

Primary practice location

2029 Buchanan St
Kansas City, MO 64116-3405

Mailing address

2029 Buchanan St
Kansas City, MO 64116-3405
Phone (816) 221-0305

Other practice location 1

3721 NE Troon Dr
Lees Summit, MO 64064-1988
Phone (816) 221-0305

Other practice location 2

5300 Foxridge Dr
Mission, KS 66202-1554
Phone (816) 221-0305

Other practice location 3

3630 SW Burlingame Rd
Topeka, KS 66611-2050
Phone (816) 221-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140701000521 MO Practitioner - Clinical Social Worker 2860615366 Reassigns benefits to 1 organization
I20250523001804 KS Practitioner - Clinical Social Worker 2860615366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lilac Center LLCGroup PAC ID 2961625462, 23 clinicians

Practice addresses (Care Compare)

2029 Buchanan St
Kansas City, MO 64116-3405
Phone (816) 221-0305

3630 SW Burlingame Rd
Topeka, KS 66611-2050
Phone (816) 221-0305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007KSMDProfessional Counselor
3775KSMDSocial Worker
2000174524MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lilac Center LLC Current Accepting new patients
Lilac Center LLC Mental Health CurrentSince Jun 3, 2014 Accepting new patients

Locations

5300 Foxridge Dr
Mission, KS 66202
Phone (816) 221-0305

3630 SW Burlingame Rd
Topeka, KS 66611
Phone (785) 337-0308

3721 NE Troon Dr
Lees Summit, MO 64064
Phone (816) 200-0515

2029 Buchanan St
North Kansas City, MO 64116
Phone (816) 221-0305

Interoperability endpoints

  • Direct secure messaging: lilaccenter.amytibbitts@160606.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1841349933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BUCHANAN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163405",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 BUCHANAN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163405",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 NE Troon Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640641988",
            "country_code": "US",
            "telephone_number": "816-221-0305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 Foxridge Dr",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662021554",
            "country_code": "US",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 SW Burlingame Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666112050",
            "country_code": "US",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBITTS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2000174524",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.