1528270055 NPI number — JOHN FREDRICK VOGT LCSW

Table of content: JOHN FREDRICK VOGT LCSW (NPI 1528270055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528270055 NPI number — JOHN FREDRICK VOGT LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VOGT
Provider First Name:
JOHN
Provider Middle Name:
FREDRICK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528270055
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7200 SYCAMORE AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64133-6265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-353-7703
Provider Business Mailing Address Fax Number:
816-353-7703

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8080 WARD PKWY
Provider Second Line Business Practice Location Address:
SUITE 211
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64114-2020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-361-3088
Provider Business Practice Location Address Fax Number:
816-353-7703
Provider Enumeration Date:
05/04/2007

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: 1041C0700X , with the licence number:  000308 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 0902 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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