1336395045 NPI number — MRS. KERRI JEAN HILBERT M.A., LPC

Table of content: MRS. KERRI JEAN HILBERT M.A., LPC (NPI 1336395045)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336395045 NPI number — MRS. KERRI JEAN HILBERT M.A., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILBERT
Provider First Name:
KERRI
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KRUEGER
Provider Other First Name:
KERRI
Provider Other Middle Name:
JEAN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1336395045
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3610 N CHOUTEAU TRFY
Provider Second Line Business Mailing Address:
APT. C
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64117-2696
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-236-2475
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
724 N 22ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT JOSEPH
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64506-2604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-236-2475
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  2013002079 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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