Counseling Associates of Overland Park, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

COUNSELING ASSOCIATES OF OVERLAND PARK, LLC

Practice address

12701 Metcalf Ave Ste 204
Overland Park, KS 66213-2854

Phone

(913) 499-4300

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry William Tyndall, PHDNPI 1710971114

Title

Managing Member

Phone

(913) 499-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry William Tyndall, PH.D.

  • Psychologist
  • Overland Park, KS
  • NPI 1710971114
  Medicare reassignment NPD Authorized official
• Robert Alan Feuer, LCP

  • Psychologist
  • Overland Park, KS
  • NPI 1982654885
  NPD
• Wendy S. Eaves, PHD

  • Counseling Psychologist
  • Overland Park, KS
  • NPI 1770596892
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1043378847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 IRON HORSE CIR",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243852",
            "telephone_number": "913-499-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 METCALF AVE STE 204",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132854",
            "telephone_number": "913-499-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15450 Iron Horse Cir",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662243852",
            "country_code": "US",
            "telephone_number": "913-499-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF OVERLAND PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "TYNDALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "913-499-4300",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hollie Courington, COTA/L
• Theresa Marie Couture, M.S., LCMFT
• Coventry Healthcare of Kansas

• Psychologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.