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Rose M Smith , LPC

Counselor - Professional β€’ Independence, MO

Active NPI 1174382584 Individual Practitioner Female Practitioner
Practice location in NPPES

17844 E 23rd St S
Independence, MO 640571840

Call 8162543652 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

17844 E 23rd St S

Independence, MO 640571840

Telephone 8162543652
Organization at the Same NPPES Address or Phone
Burrell, Inc. Facility NPI 1013045715

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

NPI first issued

2024

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

Enrolled in Medicare (PECOS)

Rose Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Rose Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Independence and Missouri

126 active clinicians are listed under Counselor - Professional with a practice address in Independence, MO (5,803 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Independence

3.2% of these 126 clinicians have the CMS telehealth indicator.

11.9% of these 126 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: 2024-05-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MO 2024009828
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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240605001423

Enrollment State Jurisdiction

MO

PECOS Control ID

1355883414

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Chynwe Ahumaraeze , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1942572540

Advanced Registered Nurse Practitioner

Mary Brant , FPMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1356407720
Dr. Audrey Brooks , MD

Psychiatry & Neurology - Psychiatry

NPI 1225292170

Doctor of Medicine (M.D.)

Lisa Brooks , LCSW

Social Worker - Clinical

NPI 1699052738

Licensed Clinical Social Worker

Jacklynn Burk , MSN, FPMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1548916489

Master of Science in Nursing, FPMHNP

Breanna Clark , MSN, FPMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1962088559

Master of Science in Nursing, FPMHNP

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location May 13, 2024

Registered at 17844 E 23RD ST S, INDEPENDENCE, MO 640571840 (Tel: 8162543652)

πŸ“
Updated Business Mailing Address May 13, 2024

Registered at 2885 W BATTLEFIELD ST, SPRINGFIELD, MO 658073952 (Tel: 4177615214)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Counselor (license number reported to NPPES: MO 2024009828)

βœ…
NPI Profile Active March 18, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2024

Registered at 3721 NE TROON DR, LEES SUMMIT, MO 640641988 (Tel: 8162210305)

πŸ“
Business Mailing Address (Initial Record) March 18, 2024

Registered at 2029 BUCHANAN ST, KANSAS CITY, MO 641163405 (Tel: 8162210305)

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2024

Recorded as ROSE SMITH, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2024

Counselor (license number reported to NPPES: MO 2024009828)

🟒
Initial NPI Registration & Enumeration March 18, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174382584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2024
Last Update: May 13, 2024
Sole Proprietor: No

Mailing Address

2885 W Battlefield St

Springfield, MO 658073952

Phone: 4177615214

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.