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NPI Code Detail

MEDICARE: JASON L. CARRIGAN

MEDICARE:   JASON L. CARRIGAN
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
1101YM0800XMental Health Counselor000696MO
2101YM0800XMental Health Counselor112KS
3106H00000XMarriage & Family Therapist062KS

General Provider Information

NPI Number : 1578621306
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON L. CARRIGAN
Provider Business Mailing Address
First Line : 4010 WASHINGTON ST
Second Line : SUITE 405
City : KANSAS CITY
State : MO
Zip : 64111-2609
Country : US
Telephone Number : 816-756-3858
Fax Number :
Provider Business Practice Location Address
First Line : 4010 WASHINGTON ST
Second Line : SUITE 405
City : KANSAS CITY
State : MO
Zip : 64111-2609
Country : US
Telephone Number : 816-756-3858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 09/11/2025

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Directions to “ JASON L. CARRIGAN ” Practice Location

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