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JAG THERAPY, LLC
NPI 1831139104
Social Worker - Clinical in Kansas City, MO

Active since June 07, 2006
4401 N.E. VIVION RD, SUITE 203, KANSAS CITY, MO 64119(816) 455-7450 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jag Therapy, Llc NPPES

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

JAG THERAPY, LLC (NPI 1831139104) is a healthcare organization registered as a clinical in Kansas City, Missouri and active in the NPI registry since June 2006. The organization lists Julie A Gibson, Manager/ Therapist, as its authorized official.

NPPES Registry Identity

NPI1831139104
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJAG THERAPY, LLC
Location Address4401 N.E. VIVION RD, SUITE 203Kansas City, MO 64119-2800
Mailing Address4401 N.e. Vivion Rd, Suite 203Kansas City, MO 64119-2800 · (816) 455-7450
Phone(816) 455-7450
Organization SubpartNo
Authorized OfficialJulie A GibsonManager/ Therapist · (816) 455-7450
Enumeration DateJune 7, 2006
Last NPPES UpdateSeptember 24, 2007
✔ NPI 1831139104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MO · 000712
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4401 N.E. VIVION RD, Kansas City, MO 64119
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Other Identifiers 1

Medicare ID-Type Unspecified0002788MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jag Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jag Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Julie Gibson, MSW, LCSW
Clinical Social Worker
NPI 1700073202
4401 NE VIVION RD SUITE 203
Kansas City, MO 64119
(816) 455-7450
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jag Therapy, LLC's NPI number?

The NPI number for Jag Therapy, LLC is 1831139104. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Jag Therapy, LLC located?

Jag Therapy, LLC is located at 4401 N.E. Vivion Rd Suite 203, Kansas City, MO 64119. The listed phone number is (816) 455-7450.

What is Jag Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jag Therapy, LLC enrolled in Medicare?

Yes. Jag Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jag Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jag Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jag Therapy, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Jag Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jag Therapy, LLC was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.