Pep Physical & Emotional Power for Life, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2003022197 Issued in MO

Legal business name

PEP PHYSICAL & EMOTIONAL POWER FOR LIFE, LLC

Practice address

7280 NW 87TH Ter
#210
Kansas City, MO 64153-3720

Phone

(816) 872-2463

Fax

(816) 533-7220

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Jacqueline Keitel, LSCSW, LCSWNPI 1821254061

Title

Owner

Phone

(816) 872-2463

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Elaine Keitel, LCSW, LSCSW

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1821254061
  Authorized official Same address or phone

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1972811578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER",
            "address_2": "#210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533720",
            "telephone_number": "816-872-2463",
            "fax_number": "816-533-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER",
            "address_2": "#210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533720",
            "telephone_number": "816-872-2463",
            "fax_number": "816-533-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEP PHYSICAL & EMOTIONAL POWER FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "KEITEL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-872-2463",
        "authorized_official_credential": "LSCSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2003022197",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "2387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawne Marie Pennington
• Elizabeth Penniston, LCSW
• Oyinkan O Penny, NP
• Destiny Pentelton
• Penuel Counseling
• Roman Gerard Peplinski, M.D.
• Bailey Kay Pepperdine, AU.D.
• Michell Ann Peppers, LCSW
• Jaclyn Marie Peraino, DO
• Katherine Lynn Peraud, DO

• Community/Behavioral Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.