Healthcare Provider Details

I. General information

NPI: 1497674337
Provider Name (Legal Business Name): MICHELE NORDQUEST PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 SE 2ND ST STE A
LEES SUMMIT MO
64063-2654
US

IV. Provider business mailing address

529 SE 2ND ST STE A
LEES SUMMIT MO
64063-2654
US

V. Phone/Fax

Practice location:
  • Phone: 816-479-0205
  • Fax:
Mailing address:
  • Phone: 816-766-1023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026033257
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: