NPIMap

Organization Active NPI

KVC Behavioral Healthcare

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1073943874
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2013-07 Issued in KY
Legal business name
KVC BEHAVIORAL HEALTHCARE
Practice address
21350 W 153Rd St
Olathe, KS 66061-5413
Phone
(913) 332-4900
Fax
(913) 780-1284
NPI assigned
Nov 15, 2013
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Krystal Marie Sharp, MA LPA
Title
Diversion Specialist
Phone
(859) 254-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2013-07 KY Primary

Addresses

Primary practice location

21350 W 153Rd St
Olathe, KS 66061-5413

Mailing address

21350 W 153Rd St
Olathe, KS 66061-5413
Phone (913) 332-4900

National Provider Directory

National Provider Directory
Tax ID family
KVC Behavioral Healthcare Kentucky13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1073943874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615413",
            "telephone_number": "913-332-4900",
            "fax_number": "913-780-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21350 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615413",
            "telephone_number": "913-332-4900",
            "fax_number": "913-780-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVC BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIVERSION SPECIALIST",
        "authorized_official_telephone_number": "859-254-1035",
        "authorized_official_credential": "MA LPA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "2013-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.