Active NPI
Kenneth Gregory Burke, LPC
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1932830478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2022020355
- Practice address
- 9229 Ward Pkwy Ste 260
Kansas City, MO 64114-3333 - Phone
- (816) 289-2687
- Fax
- (913) 273-1561
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2022020355 | MO | Primary |
Addresses
Primary practice location
9229 Ward Pkwy Ste 260
Kansas City, MO 64114-3333
Mailing address
4419 W 112TH Ter
Leawood, KS 66211-1718
Phone (816) 289-2687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022020355 | Other | MO | STATE OF MISSOURI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9229 Ward Pkwy
260 A New Lens Psychological Services
Kansas City, MO 64114-3333
Phone (816) 514-0892
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022020355 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Lens Psychological Services, LLC | Mental Health | Current | Accepting new patients |
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
9229 Ward Pkwy
Ste 260
Kansas City, MO 64114
Phone (816) 289-2687
Organizations & group practices 2
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.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1932830478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 W 112TH TER",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111718",
"telephone_number": "816-289-2687",
"fax_number": "913-273-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9229 WARD PKWY STE 260",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143333",
"telephone_number": "816-289-2687",
"fax_number": "913-273-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "KENNETH",
"middle_name": "GREGORY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2022020355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MISSOURI",
"identifier": "2022020355",
"state": "MO"
}
],
"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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.