Individual provider Active NPI

Anita Johnson

  • Professional Counselor
  • Kansas City, KS
National Provider Identifier
1952534448
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1975 Issued in KS
Practice address
7840 Washington Ave
Kansas City, KS 66112-2152
Phone
(913) 328-4600
Fax
(913) 328-4604
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2009024076 MO
Professional Counselor 101YP2500X 1975 KS Primary

Addresses

Primary practice location

7840 Washington Ave
Kansas City, KS 66112-2152

Mailing address

7840 Washington Ave
Kansas City, KS 66112-2152
Phone (913) 328-4600

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
I20240322000623 MO Practitioner - Mental Health Counselor 2961849278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-County Mental Health Services, IncGroup PAC ID 8426950718, 35 clinicians

Practice addresses (Care Compare)

3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone (816) 468-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009024076MOMDProfessional Counselor
1975KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Mental Health Services, Inc. CurrentSince Mar 8, 2024 Accepting new patients

Locations

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

Organizations & group practices 1

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1952534448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 WASHINGTON AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122152",
            "telephone_number": "913-328-4600",
            "fax_number": "913-328-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 WASHINGTON AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122152",
            "telephone_number": "913-328-4600",
            "fax_number": "913-328-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009024076",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.