Provider Demographics
NPI:1962652321
Name:COUNSELING PSYCHOLOGISTS, LLC
Entity Type:Organization
Organization Name:COUNSELING PSYCHOLOGISTS, LLC
Other - Org Name:DR. LORI B. SCHWARTZ
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER & PSYCHOLOGIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:LORI
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-753-7071
Mailing Address - Street 1:7611 STATE LINE RD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-6801
Mailing Address - Country:US
Mailing Address - Phone:816-753-7071
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC1900X
MOPY01564251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO19138028OtherBLUE CROSS BLUE SHIELD OF KC
MO493607105Medicaid
MO493607105Medicaid