Active NPI
Jacob Michael Prestidge
- Marriage & Family Therapist
- Overland Park, KS
National Provider Identifier
1073448106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT03819T
- Practice address
- 9393 W 110TH St Ste 532
Overland Park, KS 66210-1442 - Phone
- (816) 875-0072
- NPI assigned
- Jun 18, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT03819T | KS | Primary |
Addresses
Primary practice location
9393 W 110TH St Ste 532
Overland Park, KS 66210-1442
Mailing address
7020 Walmer St
Overland Park, KS 66204-1437
Phone (816) 506-8098
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trailhead Counseling Services LLC | Current | Accepting new patients |
Locations
9393 W 110th St
Ste 532
Overland Park, KS 66210
Phone (816) 875-0072
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Overland Park, KS
- NPI 1760206205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1073448106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7020 WALMER ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662041437",
"telephone_number": "816-506-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9393 W 110TH ST STE 532",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101442",
"telephone_number": "816-875-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTIDGE",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "LMFT03819T",
"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 Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.