=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851582449
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRANSITIONS CONSULTING AND EDUCATION SERVICES OF JOHNSON COUNTY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2007
-----------------------------------------------------
Last Update Date | 03/03/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21 N 12TH ST SUITE 470
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66102-5161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-371-0352
-----------------------------------------------------
Fax | 913-371-0354
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21 N 12TH ST SUITE 470
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66102-5161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-371-0352
-----------------------------------------------------
Fax | 913-371-0354
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | REGINA E SINGLETON
-----------------------------------------------------
Credential | LMSW
-----------------------------------------------------
Telephone | 913-371-0352
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LSCSW 1887
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------