Healthcare Provider Details

I. General information

NPI: 1497559652
Provider Name (Legal Business Name): MADISON CARISSA BARROWS PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 NW VIVION RD STE 108
KANSAS CITY MO
64118-4511
US

IV. Provider business mailing address

PO BOX 901211
KANSAS CITY MO
64190-1211
US

V. Phone/Fax

Practice location:
  • Phone: 816-366-5515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025005326
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: