Cynthia Kay Colean, LCPC
Individual provider Active NPI Professional Counselor · Overland Park, KS
NPI 1083972632 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1083972632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LCPC03524 (KS)
- Practice address
- 10551 Barkley St Suite 108
Overland Park, KS 66212 - Phone
- (541) 530-3757
- Fax
- (541) 440-3554
- NPI assigned
- May 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10551 Barkley St
Suite 108
Overland Park, KS 66212-1813
Phone (541) 530-3757
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320001447 | KS | Practitioner - Mental Health Counselor | 5092152520 | Practice locations: Overland Park, KS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC03524 | KS | MD | Professional Counselor |
| C2902 | OR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | C2902 | OR | |
| Professional Counselor | 101YP2500X | LCPC03524 | KS | Yes |
Addresses
Primary practice location
10551 Barkley St Suite 108
Overland Park, KS 66212
Mailing address
2804 W 120TH Terrace
Leawood, KS 66209
Phone (541) 530-3757
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500646733 | Medicaid | OR |
Other providers in Overland Park, KS
- Johanna Hui Cole
- Madelyn Elisabeth Cole
- Melody A Cole
- Reece Catherine Cole
- Vance Cole
- Crystal Coleman
- Lisa Lee Coleman
- Sheena Jo Coleman
- Whitney T Coleman
- Colin N Mackenzie MD LC
All providers in Overland Park, KS · Professional 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 Sep 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.