Individual provider Active NPI

Edward Allyn McNeil, LPC

  • Professional Counselor
  • Lenexa, KS
National Provider Identifier
1285360743
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4115 Issued in KS
Practice address
8629 Bluejacket St
Lenexa, KS 66214-1604
Phone
(913) 677-3553
Fax
(913) 677-3282
NPI assigned
Jul 27, 2022
Sex
Male
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Associates PA 23 clinicians

Practice addresses (Care Compare)

8629 Bluejacket St
Lenexa, KS 66214-1604
Phone (913) 677-3553

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718001630 KS Practitioner - Mental Health Counselor 5395281034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4115KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates PA CurrentSince Jul 28, 2024 Accepting new patients

Locations

8629 Bluejacket St
Ste 100
Overland Park, KS 66214
Phone (913) 677-3553

8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4115 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

8629 Bluejacket St
Lenexa, KS 66214-1604

Mailing address

8629 Bluejacket St
Lenexa, KS 66214-1604
Phone (913) 677-3553

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
30003930130001MedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2022.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1285360743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141604",
            "telephone_number": "913-677-3553",
            "fax_number": "913-677-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8629 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141604",
            "telephone_number": "913-677-3553",
            "fax_number": "913-677-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "EDWARD",
        "middle_name": "ALLYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003930130001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.