Active NPI
Mark C Chubb
- Mental Health Counselor
- Prairie Village, KS
National Provider Identifier
1225901713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC05207T
- Practice address
- 4600 W 90TH Ter Ste 101
Prairie Village, KS 66207-2348 - Phone
- (913) 444-2268
- NPI assigned
- Sep 29, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC05207T | KS | Primary |
Addresses
Primary practice location
4600 W 90TH Ter Ste 101
Prairie Village, KS 66207-2348
Mailing address
4600 W 90TH Ter Ste 101
Prairie Village, KS 66207-2348
Phone (913) 444-2268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11909 Lamar Ave
Leawood, KS 66209-2706
Phone (913) 906-9696
17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC05207T | KS | MD | Mental Health Counselor |
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Colwich, KS
- NPI 1124557020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1225901713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 W 90TH TER STE 101",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662072348",
"telephone_number": "913-444-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 W 90TH TER STE 101",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662072348",
"telephone_number": "913-444-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUBB",
"first_name": "MARK",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "LPC05207T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.