Individual provider Active NPI

Jennifer Cunningham

  • Mental Health Counselor
  • Overland Park, KS
National Provider Identifier
1275351207
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC03904 Issued in KS
Practice address
8500 W 110TH St Ste 330
Overland Park, KS 66210-1988
Phone
(913) 359-1100
NPI assigned
Sep 30, 2024
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2023050858 MO
Mental Health Counselor 101YM0800X LCPC03904 KS Primary

Addresses

Primary practice location

8500 W 110TH St Ste 330
Overland Park, KS 66210-1988

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC03904KSMDMental Health Counselor
2023050858MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
KC Mind & Wellness Center LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

10520 Barkley St
Ste 140
Overland Park, KS 66212
Phone (816) 679-6149

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1275351207",
    "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": "8500 W 110TH ST STE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101988",
            "telephone_number": "913-359-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2023050858",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LCPC03904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.