# KC COUNSELING CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528608676
- **Authorized official:** KELLY MARIE CREEK (MEMBER)
- **Authorized official phone:** (816) 210-0725

## Contact information

- **Practice address:** 9393 W 110TH ST STE 515, OVERLAND PARK, KS 66210-1442
- **Practice address phone:** (913) 710-0725
- **Mailing address:** 4572 SW RAINTREE SHORE DR, LEES SUMMIT, MO 64082-4886
- **Mailing address phone:** (816) 215-5364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2020
- **Last updated:** 05/13/2020