OrganizationActive
My Mental Health Is Kicking in LLC
NPI 1487499083 · Mental Health Clinic/Center (Including Community Mental Health Center) · Independence, MO
Provider details
- NPI number
- 1487499083
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shataura Anderson, Owner(725) 335-5159
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
12300 E US Highway 40 Ste a
Independence, MO 64055-6008
Phone: (725) 335-5159
Street-level locationGet directions
Mailing address
12300 E US Highway 40 Ste a
Independence, MO 64055-6008
Other names (DBA / former)
- Other name
- My Mental Health Is Kicking in LLC
Registry dates
- Enumerated
- 2024-06-26
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.