| Kansas City Therapy, Llc | |
|
4635 Wyandotte St Sutie 204 Kansas City MO 64112-1509 | |
| (816) 599-3918 | |
| Not Available |
| Full Name | Kansas City Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4635 Wyandotte St, Kansas City, Missouri |
| Authorized Official Name and Position | Bernadette Elena Borchardt (PSYCHOTHERAPY/MEMBER OF LLC) |
| Authorized Official Contact | 8164059985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Therapy, Llc 4635 Wyandotte St Sutie 204 Kansas City MO 64112-1509 Ph: (816) 599-3918 | Kansas City Therapy, Llc 4635 Wyandotte St Sutie 204 Kansas City MO 64112-1509 Ph: (816) 599-3918 |
| NPI Number | 1467814376 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Medicare PECOS PAC ID | 8729379797 |
|---|---|
| Medicare Enrollment ID | O20160622000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467814376 | NPI | - | NPPES |
| 980336 | Other | MO | MISSOURI CARE |
| 1225304264 | Medicaid | MO | |
| PTAN #H74000010 | Other | MO | MEDICARE |
| 1649587148 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2013003118 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 2011010746 (Missouri) | Secondary |
| Provider Name | Misty D Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225304264 PECOS PAC ID: 3971735010 Enrollment ID: I20140403002327 |
| Provider Name | Bernadette E Borchardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649587148 PECOS PAC ID: 7719278795 Enrollment ID: I20160622001992 |
The Faith Housing Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5036 Prospect Ave, Kansas City, MO 64130 Phone: 816-506-6505 Fax: 816-236-7957 | |
Encourage Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4214 Nw Cookingham Rd, Kansas City, MO 64164 Phone: 816-223-6376 | |
Restore Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6155 Oak St Ste B, Kansas City, MO 64113 Phone: 816-607-1775 | |
Beacon Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119 Phone: 816-468-0400 Fax: 816-468-6635 | |
Partners In Behavioral Milestones, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6412 E 87th St, Kansas City, MO 64138 Phone: 816-501-5138 Fax: 816-777-0626 | |
Aba New Dawn Mo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Troost Ave # 1198, Kansas City, MO 64108 Phone: 347-975-8525 | |
Spofford Ozanam Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St, Suite 2500, Kansas City, MO 64119 Phone: 816-468-6336 Fax: 816-468-0289 |