Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Lane Re, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1760197644

Jessica Lane Re, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Raytown, Missouri. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11901 Jessica Ln
Raytown, MO 64138-2639
Phone: (754) 300-3120
Fax: (888) 919-4431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 Nw Englewood Ct Ste 300, Gladstone, MO 64118-4000 — (305) 785-5520

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1760197644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Belina Surujon — Contracting & Licensing Director · (305) 785-5520
Other names The Recovery Village Kansas City; The Recovery Village Kansas City
NPI enumeratedJanuary 16, 2023
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address2200 N Commerce Pkwy Ste 200, Weston, FL 33326-3258