Provider Demographics
NPI:1417751157
Name:BELTRAN, JASMINE RENAE
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:RENAE
Last Name:BELTRAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:RENAE
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-1361
Mailing Address - Country:US
Mailing Address - Phone:816-831-3947
Mailing Address - Fax:
Practice Address - Street 1:500 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64106-1361
Practice Address - Country:US
Practice Address - Phone:816-831-3947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health