Individual provider Active NPI

Alicia A. Hollis, EDS, LPC, NCC

  • Mental Health Counselor
  • Independence, MO
National Provider Identifier
1912789660
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2022011342 Issued in MO
Practice address
12401 E 43Rd St S Ste 121
Independence, MO 64055-5925
Phone
(816) 500-6436
NPI assigned
Oct 17, 2023
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2022011342 MO Primary
Professional Counselor 101YP2500X 297566
School Counselor 101YS0200X 339799 MO

Addresses

Primary practice location

12401 E 43Rd St S Ste 121
Independence, MO 64055-5925

Mailing address

12401 E 43Rd St S Ste 121
Independence, MO 64055-5925
Phone (816) 890-1733

Other practice location 1

8900 State Line Rd Ste 414
Leawood, KS 66206-1960
Phone (816) 890-1733

Other practice location 2

8700 State Line Rd Ste 310
Leawood, KS 66206-1500
Phone (816) 890-1733

Other practice location 3

1310 NW Vivion Rd Ste 102
Kansas City, MO 64118-4553
Phone (816) 890-1733

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
I20240705001747 MO Practitioner - Mental Health Counselor 6305380098 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022011342MOMDMental Health Counselor
339799MOMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Mar 29, 2025 Accepting new patients
Truman Medical Center Incorporated CurrentSince Mar 29, 2025 Accepting new patients
Rediscover CurrentSince Apr 29, 2024 Accepting new patients
Rediscover CurrentSince Apr 29, 2024 Accepting new patients
Summit Therapeutic Services, LLC Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Psychiatric and Family Services of Greater Kansas City, LLC PastSince Apr 6, 2021 Accepting new patients

Locations

8700 State Line Rd
Ste 310
Leawood, KS 66206
Phone (816) 500-6397

8900 State Line Rd
Ste 414
Leawood, KS 66206
Phone (816) 400-3697

12401 E 43rd St S
Ste 121
Independence, MO 64055
Phone 8165006436 ext. 06426

1000 E 24th St
Kansas City, MO 64108
Phone (816) 512-7000

1000 E 24th St
Unit 2C
Kansas City, MO 64108
Phone (816) 404-3710

1310 NW Vivion Rd
Ste 102
Kansas City, MO 64118
Phone (660) 383-2292

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

3211 Woodland Ave
Kansas City, MO 64109
Phone (816) 931-6500

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

7001 Blue Ridge Blvd
Raytown, MO 64133
Phone (816) 988-2739

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1912789660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 E 43RD ST S STE 121",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555925",
            "telephone_number": "816-890-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 E 43RD ST S STE 121",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555925",
            "telephone_number": "816-500-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 State Line Rd Ste 414",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662061960",
            "country_code": "US",
            "telephone_number": "816-890-1733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 State Line Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662061500",
            "country_code": "US",
            "telephone_number": "816-890-1733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 NW Vivion Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184553",
            "country_code": "US",
            "telephone_number": "816-890-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "ALICIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "EDS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2022011342",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "297566",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": "339799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.