Caroline Song, MA, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2017044080 Issued in MO

Practice address

8801 E 63Rd St Ste 101
Raytown, MO 64133-4865

Phone

(816) 368-2000

Fax

(816) 533-6873

NPI assigned

Jan 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• The Luminaries Project LLC

  • Professional Counselor
  • Kansas City, MO
  • NPI 1992058184
  NPD (past)

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515283200000",
    "number": "1912414301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 E 63RD ST STE 101",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334865",
            "telephone_number": "816-368-2000",
            "fax_number": "816-533-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 E 63RD ST STE 101",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334865",
            "telephone_number": "816-368-2000",
            "fax_number": "816-533-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "CAROLINE",
        "credential": "MA, PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2017044080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smileshack Missouri, LLC
• Aaron Nelson Smith, RD
• Charles P Smith, R.N.
• Gary L. Smith, D.D.S.
• Lashae Smith, BSW MSW LMSW
• Jinming Song, MD
• Special People Requiring Unique Care Equally
• Spine & Extremity Rehabilitation Center of Raytown, Inc.
• Spine and Extremity Rehabilitation Center of Raytown Inc
• Spiral Residential Home and Respite Care, LLC

• Mental Health Counselor in Raytown, MO
• Providers in Raytown, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.