MR. RICHARD CLEMENTE BAMBENEK (NPI# 1417442658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417442658 |
| Entity Type | Individual |
| Full Name | MR. RICHARD CLEMENTE BAMBENEK |
| Practice Address |
529 Se 2nd St Ste D Lees Summit MO 64063-2654 |
| Mailing Address |
2609 Nw Stonecrest Ct Blue Springs MO 64015-1770 |
| Practice Telephone | 8165813737 |
| Mailing Telephone | 8165104196 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
529 SE 2ND ST STE D |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407987662 | Kristin Anne Coblentz Swan | Social Worker | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2007-03-08 |
| 1790311983 | Brionna Renee' Smith | Social Worker | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2020-03-19 |
| 1891328076 | Megan Elizabeth Steffens | Counselor | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2020-02-17 |
| 1730712274 | Anchored In Healing, LLC | Clinic/Center | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2020-02-12 |
| 1568011427 | Jaden Marie Bray | Social Worker | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2019-09-04 |
| 1447732193 | Marie Colleen Clifton | Social Worker | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2018-08-29 |
| 1093291973 | Raashida A El-scari | Counselor | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2018-07-13 |
| 1982129425 | Katherine J Hillen | Counselor | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2017-08-06 |
| 1386096790 | Shannon Broderick | Social Worker | 529 Se 2nd St Ste D, Lees Summit, MO 64063-2654 | 2016-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1457916348 | Restoring Pathways Counseling Services, LLC | Counselor | 108 Se Rose Garden Ln, Lees Summit, MO 64064-2802 | 2019-05-06 |
| 1932657582 | Sara Kasper | Counselor | 120 Sw 2nd St, Suite 107b, Lees Summit, MO 64063-2345 | 2016-09-12 |
| 1104201581 | Melissa Mcclung | Counselor | 4048 Sw Leeward Dr, Lees Summit, MO 64082-4720 | 2015-07-27 |
| 1497061675 | David P Robbins | Counselor | 688 Se Bayberry Ln Ste 103c, Lees Summit, MO 64063-4392 | 2010-08-25 |
| 1750533840 | Kristina Kay Broz | Counselor | 1917 Ne Peters Cir, Lees Summit, MO 64086-5300 | 2008-10-21 |
| 1184180879 | Robbins Psychology Inc | Counselor | 688 Se Bayberry Ln Ste 103c, Lees Summit, MO 64063-4392 | 2019-02-18 |
| 1851745202 | Lisa Lisec | Counselor | 529 Se 2nd St, Suite A, Lees Summit, MO 64063-2694 | 2016-04-21 |
| 1689034118 | Krystina Erichsen | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2016-02-25 |
| 1740659903 | Alicia M Grindstaff | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2015-09-17 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.