Organization Active NPI

The Luminaries Project LLC

Doing business as The Center for Healing and Recovery

  • Professional Counselor
  • Kansas City, MO
National Provider Identifier
1992058184
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE LUMINARIES PROJECT LLC
Doing business as
The Center for Healing and Recovery
Practice address
435 Nichols Rd Ste 200
Kansas City, MO 64112-2036
Phone
(816) 368-2000
NPI assigned
Oct 25, 2012
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Dr. Jessica Agudelo Benito, DSW, LCSWNPI 1821405036
Title
Owner
Phone
(347) 418-2991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

435 Nichols Rd Ste 200
Kansas City, MO 64112-2036

Mailing address

PO Box 901348
Kansas City, MO 64190-1348
Phone (816) 368-2000

Other practice location 1

7280 NW 87th Ter Ste 210
Kansas City, MO 64153-3706
Phone (816) 368-2000

Other practice location 2

1201 NW Briarcliff Pkwy Ste 200
Kansas City, MO 64116-1772
Phone (816) 368-2000

Other names 1

  • The Center for Healing and Recovery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327000500 MO Part B Supplier - Clinic/Group Practice 8022370329 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

2100 E Broadway
Ste 312
Columbia, MO 65201
Phone (417) 848-1936

9601 NE Barry Rd
Ste 201
Kansas City, MO 64158
Phone (816) 407-1887

8801 E 63rd St
Ste 101
Raytown, MO 64133
Phone (816) 368-2000

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1992058184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901348",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641901348",
            "telephone_number": "816-368-2000",
            "fax_number": "816-533-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NICHOLS RD STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122036",
            "telephone_number": "816-368-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 NW 87th Ter Ste 210",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641533706",
            "country_code": "US",
            "telephone_number": "816-368-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 NW Briarcliff Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641161772",
            "country_code": "US",
            "telephone_number": "816-368-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LUMINARIES PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "BENITO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "AGUDELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-418-2991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Healing and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.