MEDICARE: BUNTAIN-ENGLE THERAPY SERVICES 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1427909530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUNTAIN-ENGLE THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	4112 PRATHER RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-2435
Country	:	US
Telephone Number	:	620-215-2012
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 BURLINGTON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-4050
Country	:	US
Telephone Number	:	620-215-2012
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MISS JANET BUNTAIN
Credential	:	LCSW
Telephone Number	:	620-215-2012

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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