Organization Active NPI

Responsive Mental Health Services LLC

  • Clinical Social Worker
  • Independence, MO
National Provider Identifier
1932571601
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2008001719 Issued in MO
Legal business name
RESPONSIVE MENTAL HEALTH SERVICES LLC
Practice address
136 E Walnut St
Suite 107
Independence, MO 64050-3990
Phone
(816) 214-0155
Fax
(816) 817-1019
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Ms. Jennifer D. Liles, LCSWNPI 1750524492
Title
Owner/Ceo
Phone
(816) 214-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2008001719 MO Primary

Addresses

Primary practice location

136 E Walnut St
Suite 107
Independence, MO 64050-3990

Mailing address

136 E Walnut St
Suite 107
Independence, MO 64050-3990
Phone (816) 214-0155

Other names 1

  • Responsive Psychotherapy Services LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216000456 MO Part B Supplier - Clinic/Group Practice 5698076651 Receives reassigned benefits from 1 practitioner
Practice locations: Independence, MO

National Provider Directory

National Provider Directory

Locations

136 E Walnut St
#107
Independence, MO 64050
Phone (816) 214-0155

136 E Walnut St
Ste 107
Independence, MO 64050
Phone (816) 214-0155

136 E Walnut St
Ste 102
Independence, MO 64050
Phone (816) 214-0155

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": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1932571601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E WALNUT ST",
            "address_2": "SUITE 107",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503990",
            "telephone_number": "816-214-0155",
            "fax_number": "816-817-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E WALNUT ST",
            "address_2": "SUITE 107",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503990",
            "telephone_number": "816-214-0155",
            "fax_number": "816-817-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPONSIVE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "816-214-0155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008001719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Responsive Psychotherapy Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.