NPIMap

Organization Active NPI

Lilac Center LLC

  • Marriage & Family Therapist
  • Kansas City, MO
National Provider Identifier
1861806127
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LILAC CENTER LLC
Practice address
1029 Pennsylvania Ave
Kansas City, MO 64105-1334
Phone
(816) 221-0305
Fax
(816) 221-9121
NPI assigned
Jun 16, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mrs. Amy Tibbitts, LSCSWNPI 1841349933
Title
Director
Phone
(816) 221-0305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1029 Pennsylvania Ave
Kansas City, MO 64105-1334

Mailing address

1029 Pennsylvania Ave
Kansas City, MO 64105-1334
Phone (816) 221-0305

National Provider Directory

National Provider Directory
Tax ID family
Lilac Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Lilac Center LLC
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Kansas City, MO
    • NPI 1477877223
    NPD tax ID

Locations

1029 Pennsylvania Ave
Kansas City, MO 64105
Phone (816) 221-0305

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1861806127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 PENNSYLVANIA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051334",
            "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": "1029 PENNSYLVANIA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051334",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "TIBBITTS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-221-0305",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.