DIAKONOS INC NPI 1164458931

NPI Information

NPI: 1164458931
Provider Name: DIAKONOS INC

Doing Business As: DIAKONOS COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4200 LITTLE BLUE PKWY
SUITE 360
INDEPENDENCE, MO
ZIP 64057
Phone: (816) 373-9240
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DIAKONOS INC is a mental health counselor in Independence, MO. DIAKONOS INC NPI is 1164458931. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Diakonos Counseling.

The provider's business location address is:

4200 LITTLE BLUE PKWY
SUITE 360
INDEPENDENCE, MO
ZIP 64057-312
Phone: (816) 373-9240
Fax: (816) 373-9243

The provider's authorized official is Brian Andrew Fidler .
The authorized official title is Business Administrator and has the following contact phone number (816) 373-9240.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 4/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral	0007690	MISSOURI	No
2	101YP2500X	Counselor	Professional	0007690	MISSOURI	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	0007690	MISSOURI	No
4	103TC0700X	Psychologist	Clinical	0007690	MISSOURI	No
5	103TC1900X	Psychologist	Counseling	0007690	MISSOURI	No
6	103TC2200X	Psychologist	Clinical Child & Adolescent	0007690	MISSOURI	No
7	106H00000X	Marriage & Family Therapist		0007690	MISSOURI	No
8	101YM0800X	Counselor	Mental Health	0007690	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S210000	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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