Jessica Baeuchle
Individual provider Active NPI Marriage & Family Therapist · Shawnee, KS
NPI 1124507405 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1124507405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2847 (KS)
- Practice address
- 6440 Nieman Rd
Shawnee, KS 66203-3326 - Phone
- (913) 826-4200
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson County Mental Health Center
Practice addresses (Care Compare)
6440 Nieman Rd
Shawnee, KS 66203-3326
Phone (913) 826-4200
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 |
|---|---|---|---|---|
| I20231122002534 | KS | Practitioner - Marriage and Family Therapist | 4486002847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2847 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson County Mental Health Center | Current |
Accepting new patients | |
| Johnson County Mental Health Center | Past | Accepting new patients |
Locations
6000 Lamar Ave
#130
Mission, KS 66202
Phone (913) 826-4200
920 W Spruce St
Olathe, KS 66061
Phone (913) 826-4200
111 S Cherry St
Ste 1400
Olathe, KS 66061
Phone (913) 826-4200
1125 W Spruce St
Olathe, KS 66061
Phone (913) 782-2100
11120 W 65th St
Shawnee, KS 66203
Phone (913) 826-4100
6440 Nieman Rd
Shawnee, KS 66203
Phone (913) 826-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2847 | KS | Yes |
Addresses
Primary practice location
6440 Nieman Rd
Shawnee, KS 66203-3326
Mailing address
6000 Lamar Ave Ste 130
Mission, KS 66202-3234
Other providers in Shawnee, KS
- Denise Marie Ayers
- Bailey Babbitt
- Jennifer M Babitzke
- Back in Motion Chiropractic, LLC
- Pamela Rae Backes
- Paula Kay Bailey
- Christy Bain
- Dakota Bain
- Himal B Bajracharya
- Mark Steven Balderston
All providers in Shawnee, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 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.