MICHAEL J. REDD (NPI# 1760860514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760860514 |
| Entity Type | Individual |
| Full Name | MICHAEL J. REDD |
| Credential | PH.D., IMFT-S |
| Practice Address |
4251 Northern Ave Kansas City MO 64133-1593 |
| Practice Telephone | 8168614700 |
| Mailing Telephone | 8168614700 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | F. 1300009-SUPV | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326239559 | Michael Alan Redd | General Practice | 501 Sbde, Hhc, Unit 15476, Box 146, Apo, AP 96260 | 2007-08-05 |
| 1033454889 | Michael D Redd | Nurse Anesthetist, Certified Registered | 2507 Broadway St, Paducah, KY 42001-3124 | 2012-12-05 |
| Street Address |
4251 NORTHERN AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64133-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989138 | Dane K Wicks | Family Medicine | 4251 Northern Ave, Honor Annex Kansas City Va, Kansas City, MO 64133 | 2005-11-15 |
| 1568063246 | Veronica Otero Ramos | Psychologist | 4251 Northern Ave, Kansas City, MO 64133-1593 | 2020-11-08 |
| 1053957472 | Avonne Danell Rosario | Nurse Practitioner | 4251 Northern Ave, Kansas City, MO 64133-1593 | 2019-11-20 |
| 1053866541 | Daxten Pruter | Registered Nurse | 4251 Northern Ave, Kansas City, MO 64133-1593 | 2016-08-24 |
| 1669859898 | Jeana Urania Smith | Social Worker | 4251 Northern Ave, Kansas City, MO 64133-1593 | 2015-04-27 |
| 1629486287 | Amber Hinton-dampf | Psychologist | 4251 Northern Ave, Kansas City, MO 64133-1593 | 2014-07-28 |
| 1215981980 | Savitri Manda | Family Medicine | 4251 Northern Ave, Kansas City, MO 64133-1593 | 2006-05-19 |
| 1235194705 | Sudhir Hegde | Internal Medicine | 4251 Northern Ave, Kansas City, MO 64133-1593 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295162 | David William Belt | Marriage & Family Therapist | 1501 W 42nd St, Kansas City, MO 64111-4147 | 2020-08-11 |
| 1710524277 | Kathie Lynn Hoffmann | Marriage & Family Therapist | 3743 Main St, Kansas City, MO 64111-1912 | 2019-12-03 |
| 1508410929 | Danielle Lockhart | Marriage & Family Therapist | 1000 E 24th St Unit 2e, Kansas City, MO 64108-2776 | 2019-07-25 |
| 1962060160 | Jill Hamilton | Marriage & Family Therapist | 1511 Westport Rd Ste A, Kansas City, MO 64111-4301 | 2019-06-03 |
| 1730655150 | Marquitta J Fields | Marriage & Family Therapist | 4110 Baltimore Ave, Kansas City, MO 64111-2303 | 2018-10-23 |
| 1326559196 | Kieri L Olmstead | Marriage & Family Therapist | 3601 Main St, Kansas City, MO 64111-1908 | 2017-10-19 |
| 1992231997 | Taylor Ulrey | Marriage & Family Therapist | 117 W 78th St, Kansas City, MO 64114-1824 | 2017-05-11 |
| 1962861518 | Heart of The Matter, LLC | Marriage & Family Therapist | 155 S 18th St Ste 200, Kansas City, KS 66102-5642 | 2016-02-10 |
| 1811364003 | Sumler Counseling Services LLC | Marriage & Family Therapist | 400 E Bannister Rd, Ste, A, Kansas City, MO 64131-3065 | 2015-08-24 |
| 1205275591 | Elise Bennett | Marriage & Family Therapist | 4444 N Belleview, Suite 211, Kansas City, MO 64116-1502 | 2013-06-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64133 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.