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Active NPI 1174651855 Individual Practitioner Female Practitioner

Kealey Anne Williams Roach , LPC

Counselor - Professional • Independence, MO

Professional Overview & Biography Verified Profile Summary

Kealey Williams Roach, LPC is a registered healthcare professional specializing in Counselor - Professional in Independence, MO. Practice services are available at 18600 E 37TH TER S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18600 E 37th Ter S

Independence, MO 640571707

Telephone 8163500215
Associated Practice Facility / Clinic
🏢 Midland Professional Management Facility NPI 1710916804

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
129 Specialists

Practicing in Independence, MO (5929 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2001018056

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MO 2001018056

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
495378317 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Alexandria Porter

Behavior Technician

NPI 1023855186
Steven Rufino

Behavior Technician

NPI 1174491609
Daniel Betancur Garcia

Behavior Technician

NPI 1225870611
Kyveeon Young

Behavior Technician

NPI 1235017609
Joshua Cunningham

Behavior Technician

NPI 1245106103
Larry Howe

Behavior Technician

NPI 1346060019

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 11, 2022

Registered at 18600 E 37TH TER S, INDEPENDENCE, MO 640571707 (Tel: 8163500215)

👤
Provider Name / Credentials Updated August 11, 2022

Recorded as KEALEY WILLIAMS ROACH, LPC

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3210 S LEES SUMMIT RD, INDEPENDENCE, MO 640551943 (Tel: 8168362920)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7306 NEWTON DR, OVERLAND PARK, KS 662041848 (Tel: 8166869499)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEALEY WILLIAMS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #2001018056 in MO)

🟢
Initial NPI Registration & Enumeration March 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174651855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2007
Last Update: August 21, 2024
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

7306 Newton Dr

Overland Park, KS 662041848

Phone: 8166869499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.