Individual provider Active NPI

Kimberly Dayani Neville, M.ED, LPC, NCC

  • Mental Health Counselor
  • Leawood, KS
National Provider Identifier
1942714704
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
887 Issued in KS
Practice address
8900 State Line Rd Ste 357
Leawood, KS 66206-1983
Phone
(913) 221-4397
NPI assigned
Nov 30, 2017
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 887 KS Primary

Addresses

Primary practice location

8900 State Line Rd Ste 357
Leawood, KS 66206-1983

Mailing address

8900 State Line Rd Ste 357
Leawood, KS 66206-1983
Phone (913) 221-4397

Other names 1

  • Missy Neville Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
887KSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1942714704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 STATE LINE RD STE 357",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061983",
            "telephone_number": "913-221-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 STATE LINE RD STE 357",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061983",
            "telephone_number": "913-221-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "KIMBERLY",
        "middle_name": "DAYANI",
        "credential": "M.ED, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISSY",
            "last_name": "NEVILLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.