1. Home
  2. Directory
  3. Missouri
  4. Independence
  5. Clinic Center
  6. NPI Profile

MEMOIR COUNSELING, LLC
NPI 1578192308
Clinic/Center - Mental Health (Including Community Mental Health Center) in Independence, MO

Active since April 03, 2020
4731 S COCHISE DR STE 206, INDEPENDENCE, MO 64055(816) 373-6433 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memoir Counseling, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMOIR COUNSELING, LLC (NPI 1578192308) is a healthcare organization registered as a mental health (including community mental health center) in Independence, Missouri and active in the NPI registry since April 2020. The organization lists Margaux Kervin, Provider, as its authorized official.

NPPES Registry Identity

NPI1578192308
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMEMOIR COUNSELING, LLC
Location Address4731 S COCHISE DR STE 206Independence, MO 64055-6975
Mailing Address2906 Ne Russell RdKansas City, MO 64117-2167 · (913) 645-5733
Phone(816) 373-6433
Organization SubpartNo
Authorized OfficialMargaux KervinProvider · (816) 866-0334
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1578192308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4731 S COCHISE DR STE 206, Independence, MO 64055
Open in Google Maps ↗

Other Identifiers 1

Medicaid1194244541MO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WYATT J EZECHIELS LPC
Counselor (Professional)
4731 S COCHISE DR STE 206
INDEPENDENCE, MO 64055
Jackson County (816) 373-6433
MR. BRIAN D GARNER LPC
Counselor (Professional)
4731 S COCHISE DR STE 206
INDEPENDENCE, MO 64055
Jackson County (816) 373-6433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memoir Counseling, LLC's NPI number?

The NPI number for Memoir Counseling, LLC is 1578192308. It was assigned to this organization in the NPPES registry on April 3, 2020.

Where is Memoir Counseling, LLC located?

Memoir Counseling, LLC is located at 4731 S Cochise Dr Ste 206, Independence, MO 64055. The listed phone number is (816) 373-6433.

What is Memoir Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Memoir Counseling, LLC was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.