Active NPI 1336482215 Individual Practitioner Male Practitioner

Kenneth Martin Deblock , LPC

Counselor - Professional • Independence, MO

Professional Overview & Biography Verified Profile Summary

Kenneth Deblock, LPC is a registered healthcare professional specializing in Counselor - Professional in Independence, MO. Practice services are available at 3205 N TWYMAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3205 N Twyman Rd

Independence, MO 640583211

Telephone 8162495371

Associated Practice Facility / Clinic

🏢 Doulos Ministries, Inc. Facility NPI 1922337583

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: 2020-11-26

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2013008640

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Shelby Boos , LPN

Licensed Practical Nurse

NPI 1003618968

Licensed Practical Nurse

Josiah Johnson , CRADC

Counselor - Addiction (Substance Use Disorder)

NPI 1033642038

Drew Arnold , RN

Registered Nurse - Psychiatric/Mental Health, Child & Adolescent

NPI 1053112532

Registered Nurse

Todd Depaepe

Registered Nurse - Psychiatric/Mental Health

NPI 1063208346

Jill Duncan

Registered Nurse

NPI 1073451647

Sarah Harden

Student in an Organized Health Care Education/Training Program

NPI 1083580757

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated November 26, 2020

Recorded as KENNETH DEBLOCK, LPC

✅

NPI Profile Active February 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2015

Registered at 3205 N TWYMAN RD, INDEPENDENCE, MO 640583211 (Tel: 8162495371)

📍

Updated Business Mailing Address February 10, 2015

Registered at 3205 N TWYMAN RD, INDEPENDENCE, MO 640583211 (Tel: 8162495371)

👤

Provider Name / Credentials Updated February 10, 2015

Recorded as KENNETH DEBLOCK, PLPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2015

Counselor (License #2013008640 in MO)

🟢

Initial NPI Registration & Enumeration March 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336482215

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 29, 2013

Last Update: November 26, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3205 N Twyman Rd

Independence, MO 640583211

Phone: 8162495371

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.