Individual provider Active NPI

Kenneth Gregory Burke, LPC

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1932830478
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022020355 Issued in MO
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

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2022020355OtherMOSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122004189 MO Practitioner - Mental Health Counselor 0345608956 Reassigns benefits to 2 organizations

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
A New Lens Psychological Services, LLCGroup PAC ID 7618335225, 2 clinicians

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

LicenseStateTypeSpecialty
2022020355MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A New Lens Psychological Services, LLC Mental Health CurrentSince Aug 7, 2021 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 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.

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

Verify at the official NPI Registry.