MEDICARE: EVELYN BEUSSINK LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2001022327	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	736464	OTHER	MO	HEALTHLINK
3	152173	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1710082698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN BEUSSINK LPC

Provider Business Mailing Address
First Line	:	390 FRASER RDG
Second Line	:
City	:	JACKSON
State	:	MO
Zip	:	63755-4138
Country	:	US
Telephone Number	:	573-450-9729
Fax Number	:

Provider Business Practice Location Address
First Line	:	7280 NW 87TH TER STE C-210
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-3720
Country	:	US
Telephone Number	:	573-450-9729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	04/23/2026

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Directions to “ EVELYN BEUSSINK LPC” Practice Location

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