STATE LINE PSYCHIATRIC CONSULTANTS LLC (NPI# 1639644131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639644131 |
| Entity Type | Organization |
| Organization Name | STATE LINE PSYCHIATRIC CONSULTANTS LLC |
| Practice Address |
3320 Ne Wilshire Dr Lees Summit MO 64064-2077 |
| Mailing Address |
6709 W 119th St # 464 Overland Park KS 66209-2013 |
| Practice Telephone | 8166075700 |
| Mailing Telephone | 9548161690 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | DR. ANDREW HARRIS KERSTEIN (MEMBER) |
| Authorized Official Telephone | 9548161690 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3320 NE WILSHIRE DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-2077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888387 | Kristine K. Simms | Physical Therapy Assistant | 3320 Ne Wilshire Dr, Lees Summit, MO 64064-2077 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042865 | Sarah West -effland, Lcsw,llc | Community/Behavioral Health | 656 Se Bayberry Lane, Suite 105, Lees Summit, MO 64063 | 2015-05-07 |
| 1467753764 | Healing Pathway Victim Service Agency | Community/Behavioral Health | 719 Ne Tudor Rd Apt 7, Lees Summit, MO 64086-5785 | 2010-11-03 |
| 1528372588 | Turning Leaf Counseling and Consultation, LLC | Community/Behavioral Health | 305 Sw Market St, Suite 2, Lees Summit, MO 64063-2315 | 2010-08-02 |
| 1528237781 | Jana Home Care LLC | Community/Behavioral Health | 2113 Se 7th St, Lees Summit, MO 64063-1022 | 2008-02-21 |
| 1750846929 | Lees Summit Counseling Services LLC | Community/Behavioral Health | 508 Ne Spring Creek Pl, Lees Summit, MO 64086-7089 | 2019-02-01 |
| 1376085100 | Rediscover | Community/Behavioral Health | 1555 Ne Rice Rd, Lees Summit, MO 64086-6034 | 2016-11-10 |
| 1992175483 | Resolutions Counseling and Psychotherapy LLC | Community/Behavioral Health | 656 Se Bayberry Ln, Ste 105, Lees Summit, MO 64063-4301 | 2015-09-28 |
| 1952619629 | Judy Gardner Counseling LLC | Community/Behavioral Health | 656 Se Bayberry Ln, Suite 105, Lees Summit, MO 64063-4300 | 2010-09-16 |
| 1336473958 | Broz Counseling Services, LLC | Community/Behavioral Health | 1917 Ne Peters Cir, Lees Summit, MO 64086-5300 | 2009-09-29 |
| 1871633313 | Rediscover | Community/Behavioral Health | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2007-02-07 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
Please comment or provide details below to improve the information on STATE LINE PSYCHIATRIC CONSULTANTS 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.