Organization Active NPI

KC Mind & Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
National Provider Identifier
1194536078
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KC MIND & WELLNESS CENTER LLC
Practice address
10520 Barkley St Ste 140
Overland Park, KS 66212-1823
Phone
(913) 359-1100
NPI assigned
Jan 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Jennifer CunninghamNPI 1275351207
Title
Owner/ Professional Counselor
Phone
(816) 985-5440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10520 Barkley St Ste 140
Overland Park, KS 66212-1823

Mailing address

13001 Knox St
Overland Park, KS 66213-3231
Phone (816) 985-5440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1194536078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 KNOX ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662133231",
            "telephone_number": "816-985-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 BARKLEY ST STE 140",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121823",
            "telephone_number": "913-359-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC MIND & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "816-985-5440"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Feb 11, 2025; 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.