NORTHLAND COMPLETE COUNSELING LLC (NPI# 1821648205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821648205 |
| Entity Type | Organization |
| Organization Name | NORTHLAND COMPLETE COUNSELING LLC |
| Practice Address |
1524 Ne 96th St Ste C Liberty MO 64068-1380 |
| Mailing Address |
301 Concord Cir Grain Valley MO 64029-9719 |
| Practice Telephone | 8163793007 |
| Practice Fax Number | 8163793745 |
| Mailing Telephone | 8163793022 |
| Mailing Fax Number | 8163793745 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | JORDAN DAVIS (OFFICE MANAGER) |
| Authorized Official Telephone | 8163793022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1524 NE 96TH ST STE C |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
| 1164065207 | Tyler R Burch | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2019-10-22 |
| 1457917171 | Aubrey Off | Social Worker | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2019-05-17 |
| 1326403783 | Michele Renee Roberts | Social Worker | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2015-12-29 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425448 | Herbert Douglas Geiger | Counselor | 949 Wellington Way, Liberty, MO 64068-1481 | 2020-07-30 |
| 1326683814 | Jacob Laton Wharton | Counselor | 1512 Ne 96th St Ste A, Liberty, MO 64068-7174 | 2019-11-08 |
| 1700321361 | Deena Watkins | Counselor | 9 Victory Dr Ste 2b, Liberty, MO 64068-3807 | 2017-01-05 |
| 1336591890 | Joshua Harms | Counselor | 7 Westowne St, Liberty, MO 64068-1166 | 2016-07-08 |
| 1396127056 | Mustang Medicine Works, LLC | Counselor | 25 Iselin St, Liberty, SC 29657-1508 | 2015-06-18 |
| 1124428016 | Mustang Medicine Works, LLC | Counselor | 5642 Moorefield Memorial Hwy., Liberty, SC 29657 | 2014-08-27 |
| 1780007344 | Robert Mason Burdine Jr. | Counselor | 314 Springdale Ave, Liberty, SC 29657-3807 | 2014-01-31 |
| 1598196123 | Kristi Robin Bohanon | Counselor | 84 Hustonville St, Liberty, KY 42539-3469 | 2013-12-08 |
| 1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
| 1558625343 | Kelly R Brandsgaard | Counselor | 4 Westowne St Ste 403, Liberty, MO 64068-3511 | 2012-06-27 |
| 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.