Individual provider Active NPI

Hollyn M Smith, MS, LMFT

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1124660550
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3089 Issued in KS
Practice address
8645 College Blvd Ste 125
Overland Park, KS 66210-2034
Phone
(913) 735-9465
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3089 KS Primary

Addresses

Primary practice location

8645 College Blvd Ste 125
Overland Park, KS 66210-2034

Mailing address

8645 College Blvd
Overland Park, KS 66210-1971
Phone (913) 735-9465

Other practice location 1

8826 Santa Fe Dr Ste 210
Overland Park, KS 66212-3672
Phone (785) 577-4365

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3089KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Family Therapy, LLC Marriage & Family Therapist Current Accepting new patients

Locations

8645 College Blvd
Ste 125
Overland Park, KS 66210
Phone (913) 375-9397

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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1124660550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101971",
            "telephone_number": "913-735-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 COLLEGE BLVD STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102034",
            "telephone_number": "913-735-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8826 Santa Fe Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662123672",
            "country_code": "US",
            "telephone_number": "785-577-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOLLYN",
        "middle_name": "M",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "3089",
            "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 11, 2020; 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.