Individual provider Active NPI

Petunia M Monchusie, LPC, LCAC

  • Mental Health Counselor
  • Overland Park, KS
National Provider Identifier
1285915306
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2280 Issued in KS
Practice address
15460 Robinson St
Overland Park, KS 66223-2891
Phone
(913) 748-7831
NPI assigned
Sep 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2280 KS Primary

Addresses

Primary practice location

15460 Robinson St
Overland Park, KS 66223-2891

Mailing address

15460 Robinson St
Overland Park, KS 66223-2891
Phone (913) 748-7831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2280KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Recovery Options Past Accepting new patients

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1285915306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15460 ROBINSON ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232891",
            "telephone_number": "913-748-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15460 ROBINSON ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232891",
            "telephone_number": "913-748-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCHUSIE",
        "first_name": "PETUNIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LPC, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2280",
            "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 Aug 21, 2013; 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.