Lasting Impressions Mo LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LASTING IMPRESSIONS MO LLC

Practice address

520 S Lamine Ave
Sedalia, MO 65301-4534

Phone

(660) 951-1026

Fax

(660) 951-1036

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Keegan Micah Wassam

Title

Director

Phone

(660) 951-1026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1992514855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S LAMINE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014534",
            "telephone_number": "660-951-1026",
            "fax_number": "660-951-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S LAMINE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014534",
            "telephone_number": "660-951-1026",
            "fax_number": "660-951-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING IMPRESSIONS MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "WASSAM",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_middle_name": "MICAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "660-951-1026"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart Dewayne Kuhns, CRNA
• McKenzie Jo Kusgen, NP-C
• Labone LLC
• Teri C Lada, LPC
• Adam Lankerd, LPN
• Heather Lawson
• Lawrence E Lee, MD
• Brittany Rae Lefevers, MD
• Jonathan Kent Lefevers
• Cathy J Lewis, PLPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.