Individual provider Active NPI

Marita Barkis, PH.D.

  • Counseling Psychologist
  • Kansas City, MO
National Provider Identifier
1912033069
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1374 Issued in MO
Practice address
1 Ward Pkwy
Suite 107
Kansas City, MO 64112-2106
Phone
(816) 756-1722
Fax
(816) 756-1533
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1374 MO Primary
Counseling Psychologist 103TC1900X 0734 KS
Marriage & Family Therapist 106H00000X 0018 KS

Addresses

Primary practice location

1 Ward Pkwy
Suite 107
Kansas City, MO 64112-2106

Mailing address

4825 Troost Ave
Suite 206
Kansas City, MO 64110-2030
Phone (816) 235-1219

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1374MOMDCounseling Psychologist
0734KSMDClinical Social Worker
0018KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John a Larsen, PHD, LLC Past Accepting new patients

Organizations & group practices 1

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1912033069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 TROOST AVE",
            "address_2": "SUITE 206",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641102030",
            "telephone_number": "816-235-1219",
            "fax_number": "816-235-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARD PKWY",
            "address_2": "SUITE 107",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122106",
            "telephone_number": "816-756-1722",
            "fax_number": "816-756-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKIS",
        "first_name": "MARITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "1374",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "0734",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "0018",
            "primary": false
        }
    ],
    "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 Jul 15, 2007; 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.