PASEO CLINIC
NPI 1609954809
Clinic/Center - Rehabilitation, Substance Use Disorder in Kansas City, MO

Q: What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1609954809. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Paseo Clinic.

Q: What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 02, 2006

1000 E 24TH ST, KANSAS CITY, MO 64108(816) 512-7143 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Aug 28, 2019 (2 updates tracked since 2019).

On this page

About Paseo Clinic NPPES

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

PASEO CLINIC (NPI 1609954809) is a healthcare organization registered as a rehabilitation, substance use disorder in Kansas City, Missouri and active in the NPI registry since November 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1609954809

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameSTATE OF MISSOURI

Location Address1000 E 24TH STKansas City, MO 64108-2776

Mailing AddressPo Box 687Jefferson City, MO 65102-0687 · (573) 751-3398 · Fax (573) 526-4560

Phone(816) 512-7143

Organization SubpartYes

Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055

Enumeration DateNovember 2, 2006

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1609954809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in MO · EXEMPT

1000 E 24TH ST, Kansas City, MO 64108

Open in Google Maps ↗

Other Names 1

Doing Business AsPaseo Clinic

Other Identifiers 1

Medicaid866205800MO

Other Providers at the Same Location NPPES 20

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

DR. VALERIE LEEANN RUEHTER PHARMD, BCPP

Pharmacist (Psychiatric)