Individual provider Active NPI

Susan Brooks Hart

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1114962750
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1719 Issued in KS
Practice address
4500 College Blvd
Suite 304
Overland Park, KS 66211-1799
Phone
(913) 338-0400
Fax
(913) 338-0428
NPI assigned
Jun 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1719 KS Primary

Addresses

Primary practice location

4500 College Blvd
Suite 304
Overland Park, KS 66211-1799

Mailing address

4500 College Blvd
Suite 304
Overland Park, KS 66211-1799
Phone (913) 338-0400

Other identifiers 1

IdentifierTypeStateIssuer
22915053OtherMOBC&BS OF KC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1719KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Psychiatric Group Past Accepting new patients
JM Counseling Service LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114962750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111799",
            "telephone_number": "913-338-0400",
            "fax_number": "913-338-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111799",
            "telephone_number": "913-338-0400",
            "fax_number": "913-338-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS HART",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS OF KC",
            "identifier": "22915053",
            "state": "MO"
        }
    ],
    "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 Jul 13, 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.

Verify at the official NPI Registry.