MEDICARE: JUNIPER CENTER LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1801724422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNIPER CENTER LLC

Provider Business Mailing Address
First Line	:	5748 N BROADWAY ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-3998
Country	:	US
Telephone Number	:	913-214-2838
Fax Number	:

Provider Business Practice Location Address
First Line	:	5748 N BROADWAY ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-3998
Country	:	US
Telephone Number	:	913-214-2838
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	LISA MARIN
Credential	:	LCSW
Telephone Number	:	913-213-8331

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	06/05/2026

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Directions to “JUNIPER CENTER LLC ” Practice Location

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