IndividualActive
Shane Witzki
NPI 1053039461 · Professional Counselor · Liberty, MO
Shane Witzki is a Professional Counselor provider in Liberty, MO (NPI 1053039461).
Provider details
- NPI number
- 1053039461
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2020024396 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Westwoods Dr
Liberty, MO 64068-1181
Phone: (816) 368-1889
Street-level locationGet directions
Mailing address
1809 Shannon Dr
Liberty, MO 64068-2892
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-21
Frequently asked questions
- What is Shane Witzki's NPI number?
- Shane Witzki's National Provider Identifier (NPI) is 1053039461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Witzki's specialty?
- Shane Witzki is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Shane Witzki located?
- Shane Witzki's practice location on file with NPPES is 110 Westwoods Dr, Liberty, MO 64068-1181.
- What is Shane Witzki's phone number?
- The practice phone number listed in the NPPES registry for Shane Witzki is (816) 368-1889.
- Is Shane Witzki's NPI active?
- Yes — Shane Witzki's NPI (1053039461) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.