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Kealey Anne Williams Roach , LPC

Counselor - Professional β€’ Independence, MO

Active NPI 1174651855 Individual Practitioner Female Practitioner
Practice location in NPPES

18600 E 37th Ter S
Independence, MO 640571707

Call 8163500215 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

18600 E 37th Ter S

Independence, MO 640571707

Telephone 8163500215
Organization at the Same NPPES Address or Phone
Midland Professional Management Facility NPI 1710916804

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Independence and Missouri

132 active clinicians are listed under Counselor - Professional with a practice address in Independence, MO (5,910 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Independence

3% of these 132 clinicians have the CMS telehealth indicator.

11.4% of these 132 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MO 2001018056
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES MO 2001018056
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
495378317 (MO)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 11, 2022

Registered at 18600 E 37TH TER S, INDEPENDENCE, MO 640571707 (Tel: 8163500215)

πŸ‘€
Provider Name / Credentials Updated August 11, 2022

Recorded as KEALEY WILLIAMS ROACH, LPC

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3210 S LEES SUMMIT RD, INDEPENDENCE, MO 640551943 (Tel: 8168362920)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 7306 NEWTON DR, OVERLAND PARK, KS 662041848 (Tel: 8166869499)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KEALEY WILLIAMS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: MO 2001018056)

🟒
Initial NPI Registration & Enumeration March 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174651855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2007
Last Update: August 21, 2024
Sole Proprietor: Yes

Mailing Address

7306 Newton Dr

Overland Park, KS 662041848

Phone: 8166869499

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.