Active NPI
Deborah Ann Shanks, M OF COUNSELING
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1851781736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10YP2500X
- Practice address
- 2029 Buchanan St
Kansas City, MO 64116-3405 - Phone
- (816) 221-0305
- Fax
- (816) 221-9121
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10YP2500X | MO | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10YP2500X | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1851781736",
"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": [],
"basic": {
"last_name": "SHANKS",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M OF COUNSELING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "10YP2500X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.