| Kansas City Therapy, Llc | |
|
660 Se Bayberry Ln Ste 105 Lees Summit MO 64063-4264 | |
| (816) 599-3918 | |
| Not Available |
| Full Name | Kansas City Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 660 Se Bayberry Ln Ste 105, Lees Summit, Missouri |
| Authorized Official Name and Position | Bernadette Elena Borchardt (PSYCHOTHERAPY/MEMBER OF LLC) |
| Authorized Official Contact | 8164059985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Therapy, Llc 660 Se Bayberry Ln Ste 105 Lees Summit MO 64063-4264 Ph: (816) 599-3918 | Kansas City Therapy, Llc 660 Se Bayberry Ln Ste 105 Lees Summit MO 64063-4264 Ph: (816) 599-3918 |
| NPI Number | 1467814376 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 8729379797 |
|---|---|
| Medicare Enrollment ID | O20160622000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467814376 | NPI | - | NPPES |
| 1225304264 | Medicaid | MO | |
| 1649587148 | Medicaid | MO | |
| PTAN #H74000010 | Other | MO | MEDICARE |
| 980336 | Other | MO | MISSOURI CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2013003118 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2011010746 (Missouri) | Primary |
| Provider Name | Misty D Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225304264 PECOS PAC ID: 3971735010 Enrollment ID: I20140403002327 |
| Provider Name | Bernadette E Borchardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649587148 PECOS PAC ID: 7719278795 Enrollment ID: I20160622001992 |
Waldo Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3904 Sw Windsong Dr, Lees Summit, MO 64082 Phone: 660-596-2400 | |
Sreekumar Nair Md Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4031 Ne Lakewood Way, Ste 100, Lees Summit, MO 64064 Phone: 816-795-1881 Fax: 816-795-1212 | |
Aha Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Se Douglas St Ste D, Lees Summit, MO 64063 Phone: 816-298-9456 Fax: 816-307-7548 | |
Neurodiversity Clinic Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4963 Ne Goodview Cir Ste C, Lees Summit, MO 64064 Phone: 816-516-4039 | |
A Therapist Clinical Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 600 Sw Jefferson St, Lees Summit, MO 64063 Phone: 816-237-0006 | |
Rediscover Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-246-8000 Fax: 816-246-8207 | |
Rooted Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Ne Chipman Rd, Lees Summit, MO 64063 Phone: 816-682-1590 |