COLLEEN MARIE INNIS (NPI# 1437661485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437661485 |
| Entity Type | Individual |
| Full Name | COLLEEN MARIE INNIS |
| Credential | LPC |
| Practice Address |
3801 Blue Pkwy Kansas City MO 64130-2807 |
| Practice Telephone | 8169186130 |
| Practice Fax Number | 8165995969 |
| Mailing Telephone | 8169186130 |
| Mailing Fax Number | 8165995969 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE | 2017035037 | 01 |
| Street Address |
3801 BLUE PKWY |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64130-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116058 | Otis S Latimer Sr. | Internal Medicine | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2005-07-05 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1730786682 | Donnica Miller | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-05 |
| 1578170692 | Mindy Lynn Thomas | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-24 |
| 1699380147 | James Jamaal Mourning | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-09-11 |
| 1457960296 | Renee Loenen | Registered Nurse | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-07-28 |
| 1669016424 | Lindsey Ackerson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-11-04 |
| 1861044737 | Senait E Gebreab | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-07-11 |
| 1720640782 | Christopher S Jozwick | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-06-30 |
| 1174081715 | Tara Johnson | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2019-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979532 | Jaiesha Releford | Home Health | 2403 E 49th St, Kansas City, MO 64130 | 2019-08-29 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1477083129 | Laura Kay Hyland | Registered Nurse | 5931 Swope Parkway, Kansas City, MO 64130 | 2017-06-15 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1790079291 | Zaron F. Kanion/myers Dental Clinic Dds, PC | Dentist | 5240 Prospect, Kansas City, MO 64130 | 2011-06-02 |
| 1235436593 | Omonosa Transportation and Social Services LLC | Meals | 4311 Prospect Ave, Kansas City, MO 64130 | 2011-02-23 |
| 1871826461 | All Families Health Center, LLC | Family Medicine | 4301 Cleveland Ave, Kansas City, MO 64130 | 2009-09-14 |
| 1922210442 | Trena Mae Leiter | Dentist | 3801 Blue Parkway, Kansas City, MO 64130 | 2007-05-04 |
| Find all providers in zip 64130 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938595 | More't R Freeman | Counselor | 1414 N 77th St, Kansas City, KS 66112-2434 | 2020-09-29 |
| 1477169795 | Josiah Thompson | Counselor | 107 W 9th St # 302, Kansas City, MO 64105-1705 | 2020-09-22 |
| 1780299719 | Timothy James Klopfenstein | Counselor | 3616 E 112th St, Kansas City, MO 64137-2323 | 2020-09-15 |
| 1770191488 | Tonesia K Vaughn | Counselor | 7140 Wornall Rd Ste 205, Kansas City, MO 64114-1369 | 2020-07-20 |
| 1053935171 | Arianna D Williams | Counselor | 1801 Nw 38th St Apt 405, Kansas City, MO 64116-4587 | 2020-06-04 |
| 1255953105 | Jill Anderson | Counselor | 3216 Gillham Plz, Kansas City, MO 64109-1742 | 2020-05-14 |
| 1770118051 | James David Toon | Counselor | 3216 Gillham Plz Ste 210, Kansas City, MO 64109-1742 | 2020-03-07 |
| 1396376349 | Carolyn Grace | Counselor | 405 Ne 90th Ter, Kansas City, MO 64155-2445 | 2020-01-29 |
| 1184262503 | John M Kuykendall | Counselor | 851 Nw 45th St Ste 101, Kansas City, MO 64116-4613 | 2019-12-16 |
| 1497392112 | Lacey Mings-upshaw | Counselor | 107 W 9th St Ste 324, Kansas City, MO 64105-1705 | 2019-12-02 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64130 |
Please comment or provide details below to improve the information on COLLEEN MARIE INNIS.
| 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.