NORTHLAND PSYCHOLOGICAL ASSOCIATES LLC (NPI# 1649453663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649453663 |
| Entity Type | Organization |
| Organization Name | NORTHLAND PSYCHOLOGICAL ASSOCIATES LLC |
| Other Organization Name | DIPOTO COUNSELING GROUP |
| Practice Address |
9 Victory Dr Ste 3 Liberty MO 64068-3807 |
| Mailing Address |
9 Victory Dr Ste 2b Liberty MO 64068-3807 |
| Practice Telephone | 8162688501 |
| Practice Fax Number | 8164525700 |
| Mailing Telephone | 8162688501 |
| Mailing Fax Number | 8164525700 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | MARC C DIPOTO (DIRECTOR) |
| Authorized Official Telephone | 8162688501 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Dipoto Counseling Group | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5950 N Oak Trfy Ste 104, Kansas City, MO 641185164 | 8162688501 | 8166518937 |
| 9 Victory Dr Ste 3, Liberty, MO 640683807 | 8162688501 | 8164525700 |
| Street Address |
9 VICTORY DR STE 3 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437661329 | Roberta J Sullivan | Counselor | 9 Victory Dr Ste 3, Liberty, MO 64068-3807 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605229 | Lori L Streu | Counselor | 888 Haines Ste 114, Liberty, MO 64068-1008 | 2019-08-26 |
| 1801335849 | Teresa Shofner | Counselor | 330 Hopewell Spur Rd, Liberty, KY 42539-6581 | 2017-02-22 |
| 1588018626 | Gregg Modell | Counselor | 366 Wade Rd, Liberty, NY 12754-2825 | 2016-04-14 |
| 1346663416 | Jesseca Kate Berryman | Counselor | 112 Westwoods Dr, Liberty, MO 64068-1181 | 2014-01-27 |
| 1346438421 | Latisha Collins | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2007-10-15 |
| 1245430578 | Jeanneen Joy Morris | Counselor | 2 North Main St, Suite F, Liberty, MO 64068-1638 | 2007-07-24 |
| 1447267828 | Lori A. Wheelhouse | Counselor | 1812 Middlemarch Ter, Liberty, MO 64068-2961 | 2006-08-01 |
| 1740889682 | Dana Combs | Counselor | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-21 |
| 1225643091 | Gloria Jean Greynolds | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2020-09-09 |
| 1801413133 | Clinical Counseling Associates of Kansas City | Counselor | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2020-07-02 |
| Find all providers in LIBERTY | ||||
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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.