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Deactivated NPI 1700803509 Deactivated / Inactive NPI Male Practitioner

Randall B Staton , MS, LPC, LCPC

Counselor • Lees Summit, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Randall Staton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 16, 2006
NPI Deactivation Date November 07, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Randall Staton, MS, LPC, LCPC was a registered Counselor practicing in Lees Summit, MO. Throughout an active medical career spanning 16 years, Randall Staton provided care at the practice location at 901 NE INDEPENDENCE AVE until profile deactivation on 2022-11-07.

Practice Location & Contact Primary Location

Practice Address

901 Ne Independence Ave

Lees Summit, MO 640865544

Telephone 8162468000
Fax 8162468207
Associated Practice Facility / Clinic
🏢 Rediscover Facility NPI 1841235298

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Lees Summit, MO (1111 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 002711

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

39 Associated Practitioners
Jillian Salanski , MS, LPC

Counselor - Professional

NPI 1003229790

Master of Science, Licensed Professional Counselor

Roberta Kneib , RN

Registered Nurse

NPI 1023118940

Registered Nurse

Connie Putthoff , LSCSW

Social Worker - Clinical

NPI 1053464297
Frances Stous , APRN

Clinical Nurse Specialist - Adult Health

NPI 1053470302

Advanced Practice Registered Nurse

Laurel Owens , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1104073907

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

David Strabala , MSW

Social Worker - Clinical

NPI 1144408824

Master of Social Work

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 07, 2022

Record deactivated on November 07, 2022

NPI Profile Active April 26, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 26, 2011

Registered at 901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 640865544 (Tel: 8162468000)

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Updated Business Mailing Address April 26, 2011

Registered at 901 NE INDEPENDENCE AVE, LEE'S SUMMIT, MO 640865544 (Tel: 8162468000)

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Provider Name / Credentials Updated April 26, 2011

Recorded as RANDALL STATON, MS, LPC, LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2011

Counselor (License #002711 in MO)

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Initial NPI Registration & Enumeration July 16, 2006

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: 1700803509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2006
Last Update: April 26, 2011
Deactivation Date: November 07, 2022

Mailing Address

901 Ne Independence Ave

Lee's Summit, MO 640865544

Phone: 8162468000

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.