Provider Demographics
NPI:1972934909
Name:GREGORY, KARI (LPC)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:GREGORY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4939 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1766
Mailing Address - Country:US
Mailing Address - Phone:913-568-1013
Mailing Address - Fax:816-926-9180
Practice Address - Street 1:7611 STATE LINE RD
Practice Address - Street 2:SUITE 226
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-6801
Practice Address - Country:US
Practice Address - Phone:816-753-7071
Practice Address - Fax:816-926-9180
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013042528101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO151118094632138Medicaid