Individual provider Active NPI

Ann Marie Olsen-Meehan, LSCSW

  • Clinical Social Worker
  • Leawood, KS
National Provider Identifier
1255483426
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3756 Issued in KS
Practice address
6711 W 121St St
Leawood, KS 66209-2003
Phone
(913) 738-7922
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3756 KS Primary

Addresses

Primary practice location

6711 W 121St St
Leawood, KS 66209-2003

Mailing address

6801 W 121St St
Leawood, KS 66209-2005
Phone (913) 738-7922

Other identifiers 2

IdentifierTypeStateIssuer
100098080AMedicaidKS
100098080COtherKSSED WAIVER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3756KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy KC, LLC CurrentSince Oct 27, 2019 Accepting new patients

Locations

6711 W 121st St
Overland Park, KS 66209
Phone (913) 738-7922

6801 W 121st St
Overland Park, KS 66209
Phone (803) 413-7159

6801 W 121st St
Ste 103
Overland Park, KS 66209
Phone (913) 338-5666

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1255483426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 121ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092005",
            "telephone_number": "913-738-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 W 121ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "913-738-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN-MEEHAN",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SED WAIVER",
            "identifier": "100098080C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.