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KINETIC CURE COUNSELING INC NPI 1487260048


NPI Information

NPI: 1487260048
Provider Name: KINETIC CURE COUNSELING INC

Doing Business As: KINETIC CURE COUNSELING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
6750 ANTIOCH RD STE 210
MERRIAM, KS
ZIP 66204
Phone: (816) 288-2918
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KINETIC CURE COUNSELING INC is a clinical social worker in Merriam, KS. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. KINETIC CURE COUNSELING INC NPI is 1487260048. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kinetic Cure Counseling.

The provider's business location address is:

6750 ANTIOCH RD STE 210
MERRIAM, KS
ZIP 66204-260
Phone: (816) 288-2918

The provider's authorized official is Bethany A Vroom .
The authorized official title is President and has the following contact phone number (816) 288-2918.

The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/28/2020.


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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103TP2701XPsychologistGroup PsychotherapyNo
41041C0700XSocial WorkerClinicalYes

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
11063873206OTHERNPI
2A201267130MEDICAIDKANSAS

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: 5/5/2024

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