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1174893895 NPI number — MICHELLE RENEE KEPPLER LSCSW, LMAC

NPI Number: 1174893895
Health Care Provider/Practitioner: MICHELLE RENEE KEPPLER LSCSW, LMAC

Information about “1174893895” NPI (MICHELLE RENEE KEPPLER LSCSW, LMAC) exists in 1174893895 in HTML format HTML  |  1174893895 in plain Text format TXT  |  1174893895 in PDF (Portable Document Format) PDF  |  1174893895 in an XML format XML  formats.

NPI Number : 1174893895 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174893895",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEPPLER",
    "FirstName": "MICHELLE",
    "MiddleName": "RENEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LSCSW, LMAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HERNANDEZ, HELDENBRAND",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW, LAC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "901 E 104TH ST",
    "SecondLineMailingAddress": "MAILSTOP 400S",
    "MailingAddressCityName": "KANSAS CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64131-4517",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-932-5678",
    "MailingAddressFaxNumber": "816-932-9670",
    "FirstLinePracticeLocationAddress": "301 NE MULBERRY ST",
    "SecondLinePracticeLocationAddress": "STE 200",
    "PracticeLocationAddressCityName": "LEE'S SUMMIT",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64086-6017",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-932-1711",
    "PracticeLocationAddressFaxNumber": "816-932-1719",
    "EnumerationDate": "01/11/2012",
    "LastUpdateDate": "10/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "429",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "2023018243",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "4777",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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