Active NPI
Frank Ancona, MSW. CRAADC,SQP
- Addiction (Substance Use Disorder) Counselor
- Blue Springs, MO
National Provider Identifier
1861021669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1524
- Practice address
- 1132 SW Luttrell Rd Ste F
Blue Springs, MO 64015-4900 - Phone
- (826) 224-4417
- NPI assigned
- Apr 3, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1524 | MO | Primary |
Addresses
Primary practice location
1132 SW Luttrell Rd Ste F
Blue Springs, MO 64015-4900
Mailing address
3420 SW Lois LN
Lees Summit, MO 64082-4130
Phone (816) 547-7860
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1525 | Other | MO | CRAADC MISSOURI |
| 1524 | Medicaid | MO | |
| 1524 | Other | CERTIFIED SUBSTANCE ABUSE COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | csmhci@msn.com | Direct |
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 |
|---|---|---|---|
| 1524 | MO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1861021669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 SW LOIS LN",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640824130",
"telephone_number": "816-547-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 SW LUTTRELL RD STE F",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640154900",
"telephone_number": "826-224-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCONA",
"first_name": "FRANK",
"name_prefix": "Mr.",
"credential": "MSW. CRAADC,SQP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "1524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRAADC MISSOURI",
"identifier": "1525",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1524",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED SUBSTANCE ABUSE COUNSELOR",
"identifier": "1524",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "csmhci@msn.com",
"affiliation": "N",
"endpointDescription": "work mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "e mail",
"address_1": "3420 SW Lois Ln",
"city": "Lees Summit",
"state": "MO",
"country_code": "US",
"postal_code": "640824130",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.