Active NPI
Amy Benson
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1003409830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3594
- Practice address
- 6721 W 121St St Ste 120
Overland Park, KS 66209-2031 - Phone
- (913) 302-1822
- NPI assigned
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3594 | KS | Primary |
Addresses
Primary practice location
6721 W 121St St Ste 120
Overland Park, KS 66209-2031
Mailing address
14800 Slater St
Overland Park, KS 66221-2204
Phone (913) 302-1822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3594 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1003409830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14800 SLATER ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662212204",
"telephone_number": "913-302-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6721 W 121ST ST STE 120",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092031",
"telephone_number": "913-302-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.