Active NPI
Kristin Suttle, MA, LPC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1184137648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3078
- Practice address
- 5750 W 95TH St Ste 155
Overland Park, KS 66207-2980 - Phone
- (913) 638-3024
- NPI assigned
- Nov 7, 2017
- Last updated
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3078 | KS | Primary |
Addresses
Primary practice location
5750 W 95TH St Ste 155
Overland Park, KS 66207-2980
Mailing address
11434 S Northwood Cir
Olathe, KS 66061-6500
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3078 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1184137648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11434 S NORTHWOOD CIR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660616500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 W 95TH ST STE 155",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662072980",
"telephone_number": "913-638-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTLE",
"first_name": "KRISTIN",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3078",
"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 Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.