| Rediscover | |
|
901 Ne Independence Ave Lees Summit MO 64086-5544 | |
| (816) 246-8000 | |
| (816) 246-8207 |
| Full Name | Rediscover |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 Ne Independence Ave, Lees Summit, Missouri |
| Authorized Official Name and Position | Stewart Alan Chase (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8163473243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediscover 1555 Ne Rice Rd Lees Summit MO 64086-5849 Ph: (816) 246-8000 | Rediscover 901 Ne Independence Ave Lees Summit MO 64086-5544 Ph: (816) 246-8000 |
| NPI Number | 1841235298 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Medicare PECOS PAC ID | 3375453517 |
|---|---|
| Medicare Enrollment ID | O20031118000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841235298 | NPI | - | NPPES |
| 561107053 | Medicaid | MO | |
| CP7314 | Other | MO | MEDICARE RAILROAD GROUP |
| Provider Name | John M Wubbenhorst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295744605 PECOS PAC ID: 2567453756 Enrollment ID: I20040518000942 |
| Provider Name | Tomas C Brillantes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427130061 PECOS PAC ID: 6204827876 Enrollment ID: I20040521000544 |
| Provider Name | Mairaj A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235255795 PECOS PAC ID: 6103858659 Enrollment ID: I20050906000349 |
| Provider Name | John F Vogt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528270055 PECOS PAC ID: 2365466059 Enrollment ID: I20060120000533 |
| Provider Name | Latha T. Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164527560 PECOS PAC ID: 1759366024 Enrollment ID: I20070507000545 |
| Provider Name | David E Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538206487 PECOS PAC ID: 2668561333 Enrollment ID: I20071203000594 |
| Provider Name | Laurel B Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104073907 PECOS PAC ID: 8729155536 Enrollment ID: I20080920000063 |
| Provider Name | Joseph N Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750486387 PECOS PAC ID: 9739248998 Enrollment ID: I20081104000203 |
| Provider Name | Kristin A Coblentz Swan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407987662 PECOS PAC ID: 1557421542 Enrollment ID: I20081120000557 |
| Provider Name | Kellie Louise Shuck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598720534 PECOS PAC ID: 6901906197 Enrollment ID: I20130115000382 |
| Provider Name | Laura A Aboud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427393743 PECOS PAC ID: 2062665235 Enrollment ID: I20130122000235 |
| Provider Name | Carol A Huhs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154415859 PECOS PAC ID: 5991942534 Enrollment ID: I20130520000070 |
| Provider Name | Merri C Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982739306 PECOS PAC ID: 6608017959 Enrollment ID: I20130729000674 |
| Provider Name | Sue L Severance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306997010 PECOS PAC ID: 6507857851 Enrollment ID: I20131115001752 |
| Provider Name | Andrew Harris Kerstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346473360 PECOS PAC ID: 7315119740 Enrollment ID: I20140124001146 |
| Provider Name | Stacie G Newberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487801908 PECOS PAC ID: 1052575768 Enrollment ID: I20140220000597 |
| Provider Name | Nina M Escobar-petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093030389 PECOS PAC ID: 8628200250 Enrollment ID: I20140415000710 |
| Provider Name | Brian T Cuthbertson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912141359 PECOS PAC ID: 1456578509 Enrollment ID: I20140813001013 |
| Provider Name | Amanda Sells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316244742 PECOS PAC ID: 8921227083 Enrollment ID: I20140923000084 |
| Provider Name | Ashley Janese Batley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619377868 PECOS PAC ID: 9234350091 Enrollment ID: I20141020000899 |
| Provider Name | Michael R Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962891481 PECOS PAC ID: 0749508034 Enrollment ID: I20150416002322 |
| Provider Name | Patrick M Wambugu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914204 PECOS PAC ID: 5991023111 Enrollment ID: I20150417001025 |
| Provider Name | Danielle L Skirchak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750484242 PECOS PAC ID: 5496825002 Enrollment ID: I20150917001939 |
| Provider Name | Paula Y Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447629407 PECOS PAC ID: 4587965546 Enrollment ID: I20151216000507 |
| Provider Name | Lakeitia R Bunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841658507 PECOS PAC ID: 8527366210 Enrollment ID: I20160413001059 |
| Provider Name | Ashley Cott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053781120 PECOS PAC ID: 0648579425 Enrollment ID: I20160603001763 |
| Provider Name | April S Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780885970 PECOS PAC ID: 2264754811 Enrollment ID: I20161205001184 |
| Provider Name | Dawny M Barnhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639442437 PECOS PAC ID: 1557663374 Enrollment ID: I20161206001426 |
| Provider Name | Carla M Gorman Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760800528 PECOS PAC ID: 2668755877 Enrollment ID: I20170214001999 |
| Provider Name | Jane E Cooper Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306383955 PECOS PAC ID: 5991089534 Enrollment ID: I20170228000871 |
| Provider Name | Rosemarie A Romain Tyson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780697086 PECOS PAC ID: 4688715949 Enrollment ID: I20170306000086 |
| Provider Name | Emeka Ogwudile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538690920 PECOS PAC ID: 3678847175 Enrollment ID: I20170921003501 |
| Provider Name | Kathi Joline Mcclaren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447236245 PECOS PAC ID: 2264708361 Enrollment ID: I20171017002507 |
| Provider Name | Yamila C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033637020 PECOS PAC ID: 2466718473 Enrollment ID: I20171108000333 |
| Provider Name | Nikki S Fryer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407140296 PECOS PAC ID: 8426317256 Enrollment ID: I20180123003529 |
| Provider Name | Meron Tibebu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065215 PECOS PAC ID: 0042565756 Enrollment ID: I20180621000770 |
| Provider Name | Roopa Patel Mokha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376992479 PECOS PAC ID: 9032467493 Enrollment ID: I20180801003878 |
| Provider Name | John Scott Landregan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790829299 PECOS PAC ID: 6608113741 Enrollment ID: I20190128000495 |
| Provider Name | Xenia Z Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396184925 PECOS PAC ID: 6002155447 Enrollment ID: I20190304000608 |
| Provider Name | Theresa Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821591777 PECOS PAC ID: 4688095250 Enrollment ID: I20200608000820 |
| Provider Name | Jena S Fouraker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972125193 PECOS PAC ID: 1153742606 Enrollment ID: I20200609001341 |
| Provider Name | Margaret B Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366090177 PECOS PAC ID: 6204250236 Enrollment ID: I20200722003487 |
| Provider Name | Angela R Manns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750784070 PECOS PAC ID: 3971923558 Enrollment ID: I20201020003734 |
| Provider Name | Richard R Brewington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558483511 PECOS PAC ID: 4688747710 Enrollment ID: I20201022000266 |
| Provider Name | Chijioke F Mbah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376152546 PECOS PAC ID: 1153731955 Enrollment ID: I20201106000394 |
| Provider Name | Kathryn D Degenhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063828382 PECOS PAC ID: 8426460817 Enrollment ID: I20201208002477 |
| Provider Name | Lakiesha Latoshia Mccrorey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295003952 PECOS PAC ID: 8325453533 Enrollment ID: I20210222001845 |
| Provider Name | Savannah Poutch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619532587 PECOS PAC ID: 0143629485 Enrollment ID: I20210519000534 |
| Provider Name | Stephanie Bartholomew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417453523 PECOS PAC ID: 4183023997 Enrollment ID: I20210527002691 |
| Provider Name | Shelby L Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114424462 PECOS PAC ID: 7719387596 Enrollment ID: I20210616000616 |
| Provider Name | Ahou B Arterburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174190946 PECOS PAC ID: 4688076763 Enrollment ID: I20210712003918 |
| Provider Name | Katie L Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336757053 PECOS PAC ID: 9931506417 Enrollment ID: I20210927000717 |
| Provider Name | Amanda A Cornell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033308762 PECOS PAC ID: 4082011465 Enrollment ID: I20210928001628 |
| Provider Name | Precious B Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003498577 PECOS PAC ID: 1850784000 Enrollment ID: I20220210001275 |
| Provider Name | Sara A Clum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205589926 PECOS PAC ID: 2567856834 Enrollment ID: I20220302001753 |
| Provider Name | Jaresa D Ross-bey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770616955 PECOS PAC ID: 5991199986 Enrollment ID: I20220309000831 |
| Provider Name | Megan E Rodgers Tschannen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255071627 PECOS PAC ID: 4789071143 Enrollment ID: I20220504000147 |
| Provider Name | Da'lesa Goodspeed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174106504 PECOS PAC ID: 5395121859 Enrollment ID: I20221006001167 |
| Provider Name | Melanie R Schaeperkoetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891145926 PECOS PAC ID: 2163898396 Enrollment ID: I20221013000724 |
| Provider Name | Marta Kifle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891402350 PECOS PAC ID: 7719356203 Enrollment ID: I20221205002069 |
| Provider Name | James T Mwangi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669180238 PECOS PAC ID: 1355710153 Enrollment ID: I20221219001500 |
| Provider Name | George S Thompson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063514040 PECOS PAC ID: 3375597032 Enrollment ID: I20230331001911 |
| Provider Name | Clarissa M Boberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124542527 PECOS PAC ID: 4981069267 Enrollment ID: I20230421000264 |
| Provider Name | Katharine Schofield Beem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427482124 PECOS PAC ID: 3779948179 Enrollment ID: I20230508000134 |
| Provider Name | Laura A Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952010571 PECOS PAC ID: 5294195418 Enrollment ID: I20230720000530 |
| Provider Name | Amber L Buse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063088433 PECOS PAC ID: 2062875347 Enrollment ID: I20230905001478 |
| Provider Name | Terren K Cain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093479966 PECOS PAC ID: 9133578883 Enrollment ID: I20231207000597 |
| Provider Name | Hannah Loren Bisges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023688538 PECOS PAC ID: 4183073729 Enrollment ID: I20231208000400 |
| Provider Name | Lucinda J Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316052723 PECOS PAC ID: 5991935959 Enrollment ID: I20231228003233 |
| Provider Name | Molly Glauner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154054427 PECOS PAC ID: 5294107728 Enrollment ID: I20240102002173 |
| Provider Name | Cindy Janczewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437739026 PECOS PAC ID: 4789036922 Enrollment ID: I20240123004032 |
| Provider Name | Marissa Ebeling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497234157 PECOS PAC ID: 4587016720 Enrollment ID: I20240123004102 |
| Provider Name | Amanda Derington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326304551 PECOS PAC ID: 1850744798 Enrollment ID: I20240127000077 |
| Provider Name | Peggy Bonas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124784202 PECOS PAC ID: 4880047737 Enrollment ID: I20240127000414 |
| Provider Name | Candace L Battle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194148353 PECOS PAC ID: 5698128304 Enrollment ID: I20240130000974 |
| Provider Name | Harold Robaina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467996736 PECOS PAC ID: 1759734486 Enrollment ID: I20240130001803 |
| Provider Name | Xinli Fan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700389608 PECOS PAC ID: 7113370776 Enrollment ID: I20240130003425 |
| Provider Name | Anna White French |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205067634 PECOS PAC ID: 7315380516 Enrollment ID: I20240205002316 |
| Provider Name | Alicia Mclemore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003136680 PECOS PAC ID: 3870936081 Enrollment ID: I20240205002629 |
| Provider Name | Carl Dippel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639378524 PECOS PAC ID: 0840633095 Enrollment ID: I20240205003827 |
| Provider Name | Arnold Santiago |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598915126 PECOS PAC ID: 9830532936 Enrollment ID: I20240206001177 |
| Provider Name | Jason Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275963787 PECOS PAC ID: 0446693881 Enrollment ID: I20240213001569 |
| Provider Name | Kris A Koppy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982048344 PECOS PAC ID: 4486098621 Enrollment ID: I20240215003579 |
| Provider Name | Lorinda Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437295458 PECOS PAC ID: 3971948597 Enrollment ID: I20240305001323 |
| Provider Name | Brandy Haddock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295860542 PECOS PAC ID: 5496190043 Enrollment ID: I20240305002231 |
| Provider Name | Joan Riddell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558463984 PECOS PAC ID: 9638515125 Enrollment ID: I20240306003340 |
| Provider Name | Jeffrey T Kamp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518521665 PECOS PAC ID: 4284070459 Enrollment ID: I20240311000372 |
| Provider Name | Carolyn N Duerfeldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679247902 PECOS PAC ID: 1658717582 Enrollment ID: I20240313002760 |
| Provider Name | Shannon Moss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013471937 PECOS PAC ID: 2264879527 Enrollment ID: I20240321002711 |
| Provider Name | Lucas Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184979940 PECOS PAC ID: 4688011919 Enrollment ID: I20240322001128 |
| Provider Name | Megan Steffens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891328076 PECOS PAC ID: 9931546173 Enrollment ID: I20240322002497 |
| Provider Name | Jay Geerdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568190825 PECOS PAC ID: 1254715972 Enrollment ID: I20240409002416 |
| Provider Name | Olivia F Stiens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225701220 PECOS PAC ID: 4385083153 Enrollment ID: I20240413000334 |
| Provider Name | Benjamin W Hensley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538886361 PECOS PAC ID: 2365883493 Enrollment ID: I20240507003310 |
| Provider Name | Deborah L Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801555008 PECOS PAC ID: 1850730664 Enrollment ID: I20240514003807 |
| Provider Name | Alicia C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871116228 PECOS PAC ID: 8820530199 Enrollment ID: I20240603002453 |
| Provider Name | Elijah Buchholz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942472295 PECOS PAC ID: 9931250297 Enrollment ID: I20240606002041 |
| Provider Name | Hilah S Vanderlippe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851040968 PECOS PAC ID: 2163964859 Enrollment ID: I20240610002438 |
| Provider Name | Britni R Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649926288 PECOS PAC ID: 4082157821 Enrollment ID: I20240620002852 |
| Provider Name | Alicia A Hollis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912789660 PECOS PAC ID: 6305380098 Enrollment ID: I20240705001747 |
| Provider Name | Melissa L Cadwalader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801630900 PECOS PAC ID: 2668918640 Enrollment ID: I20240726001219 |
| Provider Name | Carina Castilleja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730928748 PECOS PAC ID: 4183161276 Enrollment ID: I20240807001863 |
| Provider Name | Norma J Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760021034 PECOS PAC ID: 7517405889 Enrollment ID: I20240817000260 |
| Provider Name | Mallory Shea Langston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750748836 PECOS PAC ID: 1153756226 Enrollment ID: I20240829004532 |
| Provider Name | Darrel N Julu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073243697 PECOS PAC ID: 6305385881 Enrollment ID: I20240830002621 |
| Provider Name | Jose R Perez Martell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821653247 PECOS PAC ID: 3971838574 Enrollment ID: I20241004000964 |
| Provider Name | Cristal Painter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184450090 PECOS PAC ID: 4688106396 Enrollment ID: I20241019000290 |
| Provider Name | Dwight H Eisenman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447690441 PECOS PAC ID: 2062945272 Enrollment ID: I20241026000326 |
| Provider Name | Sachia A Perrine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295449270 PECOS PAC ID: 3971036187 Enrollment ID: I20241026000330 |
| Provider Name | Lin A Chiu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942964796 PECOS PAC ID: 4688107717 Enrollment ID: I20241029001029 |
| Provider Name | Scott Blackmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659118974 PECOS PAC ID: 9133652191 Enrollment ID: I20241029002806 |
| Provider Name | Sean P Cahill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346907235 PECOS PAC ID: 4981137643 Enrollment ID: I20241101003147 |
| Provider Name | Patricia Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194097188 PECOS PAC ID: 4789119082 Enrollment ID: I20241122004030 |
| Provider Name | David A Copeland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639101967 PECOS PAC ID: 5092240283 Enrollment ID: I20241125002937 |
| Provider Name | Kayenne Kline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326827882 PECOS PAC ID: 3577099308 Enrollment ID: I20241204000353 |
| Provider Name | Amy A Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093471070 PECOS PAC ID: 4183150956 Enrollment ID: I20241204002284 |
| Provider Name | Larissa J Caron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003534371 PECOS PAC ID: 6709312994 Enrollment ID: I20241211002769 |
| Provider Name | Jasmine Clasing-lichtl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801512983 PECOS PAC ID: 1355879651 Enrollment ID: I20250115000449 |
| Provider Name | Skylar S Pryor-piazza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255050829 PECOS PAC ID: 5496283707 Enrollment ID: I20250115000666 |
| Provider Name | Elizabeth N Deason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578269817 PECOS PAC ID: 6507395175 Enrollment ID: I20250128000705 |
| Provider Name | Rasheedah J Villarreal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861273872 PECOS PAC ID: 0840729422 Enrollment ID: I20250128000792 |
| Provider Name | Aries Washington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386361095 PECOS PAC ID: 5395275788 Enrollment ID: I20250214001281 |
| Provider Name | Spider Murphy-taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891238218 PECOS PAC ID: 9335663848 Enrollment ID: I20250407001073 |
| Provider Name | Mary E Bellcock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780786111 PECOS PAC ID: 7517481971 Enrollment ID: I20250407002358 |
| Provider Name | Tracy S Sudtelgte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689302317 PECOS PAC ID: 2769906148 Enrollment ID: I20250407002966 |
| Provider Name | Andy R Emrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114688603 PECOS PAC ID: 9931626199 Enrollment ID: I20250510000065 |
| Provider Name | Candace Laing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407421134 PECOS PAC ID: 7214455112 Enrollment ID: I20250514003408 |
| Provider Name | Ian Benemerito |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225761505 PECOS PAC ID: 7113446279 Enrollment ID: I20250522000519 |
| Provider Name | Amber England |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902335250 PECOS PAC ID: 0941711311 Enrollment ID: I20250613001878 |
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 |