Katherine Brethower, LCPC
Individual provider Active NPI Mental Health Counselor · Overland Park, KS
NPI 1053908574 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1053908574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3336 (KS)
- Practice address
- 8717 W 110TH St Ste 650
Overland Park, KS 66210-2113 - Phone
- (913) 276-4625
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3336 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Roam Therapy, LLC | Current |
Accepting new patients |
Locations
8101 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 227-9605
8717 W 110th St
Ste 650
Overland Park, KS 66210
Phone (785) 592-1377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3336 | KS | Yes |
Addresses
Primary practice location
8717 W 110TH St Ste 650
Overland Park, KS 66210-2113
Mailing address
8717 W 110TH St Ste 650
Overland Park, KS 66210-2113
Phone (913) 276-4625
Other providers in Overland Park, KS
- Timothy J. Brennan
- Brent L Halderman PHD LLC
- Caroline Brenton
- Davin Darren Anthony Brereton
- Dawn Brereton
- Amy M Brettmann
- Grace Brewer
- Holly Brewer
- Janell Brewer
- Melissa R Brewer
All providers in Overland Park, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.