Active NPI
Robert Burton Shonkwiler, P.L.P.C.
- Addiction (Substance Use Disorder) Counselor
- Kansas City, MO
National Provider Identifier
1952550220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2007035389
- Practice address
- 4400 Broadway St
Suite 410
Kansas City, MO 64111-3498 - Phone
- (816) 304-7793
- NPI assigned
- Sep 11, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2007035389 | MO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2007035389 | MO | Primary |
| Mental Health Counselor | 101YM0800X | 2007035389 | MO | |
| Pastoral Counselor | 101YP1600X | 2007035389 | MO |
Addresses
Primary practice location
4400 Broadway St
Suite 410
Kansas City, MO 64111-3498
Mailing address
4400 Broadway St
Suite 410
Kansas City, MO 64111-3498
Phone (816) 304-7793
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007035389 | MO | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1952550220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 BROADWAY ST",
"address_2": "SUITE 410",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113498",
"telephone_number": "816-304-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY ST",
"address_2": "SUITE 410",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113498",
"telephone_number": "816-304-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHONKWILER",
"first_name": "ROBERT",
"middle_name": "BURTON",
"credential": "P.L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2007035389",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "2007035389",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2007035389",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MO",
"license": "2007035389",
"primary": false
}
],
"identifiers": [],
"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 Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.