PLAZA THERAPY GROUP LLC (NPI# 1598290074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598290074 |
| Entity Type | Organization |
| Organization Name | PLAZA THERAPY GROUP LLC |
| Practice Address |
4635 Wyandotte St Suite 205 Kansas City MO 64112-1509 |
| Practice Telephone | 9176646530 |
| Mailing Telephone | 9176646530 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | KELLI LYNN WIETHAN (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9176646530 |
| Authorized Official Credential | LCSW LSCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2008033440 | MO | Behavioral Health & Social Service Providers |
| Street Address |
4635 WYANDOTTE ST SUITE 205 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64112-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437249265 | Kelli Lynn Wiethan | Social Worker | 4635 Wyandotte St, Suite 204, Kansas City, MO 64112-1509 | 2006-10-13 |
| 1467814376 | Kansas City Therapy, LLC | Social Worker | 4635 Wyandotte St, Sutie 204, Kansas City, MO 64112-1509 | 2016-03-22 |
| 1649587148 | Bernadette Elena Borchardt | Social Worker | 4635 Wyandotte St, Suite 204, Kansas City, MO 64112-1509 | 2010-09-03 |
| 1144424946 | Thomas Lee Teter Jr | Chiropractor | 4635 Wyandotte St, Suite 205, Kansas City, MO 64112-1509 | 2007-06-13 |
| 1073662227 | Bunton Dental Office | Dentist | 4635 Wyandotte St, Suite 200, Kansas City, MO 64112-1509 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634209 | Jackson Health Supplies | Durable Medical Equipment & Medical Supplies | 4741 Central St., #527, Kansas, MO 64112 | 2017-08-09 |
| 1376784835 | Midtown Family Medicine PC | Family Medicine | 4620 J. C. Nichols Parkway, Suite 405, Kansas City, MO 64112 | 2009-03-13 |
| 1356502041 | Kasey Lawrence Call | Dentist | 4700 Bellview, Suite L10, Kansas City, MO 64112 | 2008-06-24 |
| 1154488872 | Joyce M Tobiasen | Psychologist | 1 Ward Parkway, Ste. 107, Kansas City, MO 64112 | 2007-01-02 |
| 1457446577 | Gary Patrick Morgan | Dentist | 801 W 47th Street, Ste 408, Kansas City, MO 64112 | 2006-10-04 |
| 1942393541 | Midwest Christian Counseling Center | Voluntary or Charitable | 4800 Main, Suite G29, Kansas City, MO 64112 | 2006-10-02 |
| 1154436715 | Gregory John Stelzer | Dentist | 315 Nichols Rd 198, Kansas City, MO 64112 | 2006-08-21 |
| 1477583136 | James Garrett Bunton | Dentist | 4635 Wyandotte, Suite 200, Kansas City, MO 64112 | 2006-07-05 |
| 1508271834 | Jessica Niederee | Dentist | 4746 Belleview Ave, Kansas City, MO 64112 | 2014-06-25 |
| 1629207709 | Anna Maria Bellatin PC | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 64112 | 2009-07-09 |
| Find all providers in zip 64112 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1114533411 | Cheryl Gunn Seidler | Social Worker | 7211nw 83rd Street Suite 350, Kansas City, MO 64152-6415 | 2020-09-22 |
| 1871106989 | Anne Mari Bethune | Social Worker | 1260 W 59th St, Kansas City, MO 64113-1149 | 2020-08-28 |
| 1922619154 | Alicia D Smith | Social Worker | 8816 E 110th St, Kansas City, MO 64134-3036 | 2020-08-11 |
| 1912523119 | Crystal Rose Reckker | Social Worker | 1204 Ne 85th Ter, Kansas City, MO 64155-2671 | 2020-06-23 |
| 1013530054 | Carol Thoma-perry | Social Worker | 516 E 66th Ter, Kansas City, MO 64131-1144 | 2020-05-26 |
| 1972125193 | Jena Fouraker | Social Worker | 1000 E 24th St Ste 2e, Kansas City, MO 64108-2776 | 2020-05-11 |
| 1568095354 | Thomas Counseling LLC | Social Worker | 3000 Ne Brooktree Ln Ste 230, Kansas City, MO 64119-1890 | 2020-02-19 |
| 1942856760 | Paola Maria Capra | Social Worker | 11509 Campbell St, Kansas City, MO 64131-3830 | 2019-08-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64112 |
Please comment or provide details below to improve the information on PLAZA THERAPY GROUP LLC.
| 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.