NPIMap

Organization Active NPI

Kansas City Community Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kansas City, MO
National Provider Identifier
1881838134
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KANSAS CITY COMMUNITY CENTER
Practice address
1534 Campbell St
Kansas City, MO 64108-1520
Phone
(815) 842-1805
Fax
(816) 214-9579
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Ms. Myrna Trickey, MPA
Title
Ceo/President
Phone
(816) 421-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MO Primary

Addresses

Primary practice location

1534 Campbell St
Kansas City, MO 64108-1520

Mailing address

1730 Prospect Ave
Kansas City, MO 64127-2544
Phone (816) 421-6670

Other identifiers 1

IdentifierTypeStateIssuer
866471501MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Kansas City Community Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1534 Campbell St
Kansas City, MO 64108
Phone (816) 421-6670

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1881838134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PROSPECT AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641272544",
            "telephone_number": "816-421-6670",
            "fax_number": "816-421-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 CAMPBELL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081520",
            "telephone_number": "815-842-1805",
            "fax_number": "816-214-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "TRICKEY",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "816-421-6670",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866471501",
            "state": "MO"
        }
    ],
    "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 Oct 13, 2011; 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.