Individual provider Active NPI

Kelsey Wendt, LPC, LCMHC

  • Professional Counselor
  • Harrisonville, MO
National Provider Identifier
1902217383
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020043021 Issued in MO
Practice address
105 W Wall St # C
Harrisonville, MO 64701-2355
Phone
(816) 974-7378
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2020043021 MO Primary

Addresses

Primary practice location

105 W Wall St # C
Harrisonville, MO 64701-2355

Mailing address

815 S Ash St
Nevada, MO 64772-3222
Phone (417) 667-8352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240507004435 MO Practitioner - Mental Health Counselor 2668813726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020043021MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Counseling Center, LLC Professional CurrentSince May 1, 2024 Accepting new patients
Community Mental Health Consultants, Inc. Professional Past Accepting new patients
Communitty Mental Health Consultants, Inc. Professional PastSince May 14, 2016 Accepting new patients

Locations

105C W Wall St
Harrisonville, MO 64701
Phone (816) 974-7378

Organizations & group practices 3

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1902217383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723222",
            "telephone_number": "417-667-8352",
            "fax_number": "417-667-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W WALL ST # C",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012355",
            "telephone_number": "816-974-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "KELSEY",
        "credential": "LPC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020043021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

Verify at the official NPI Registry.