NPIMap

Organization Active NPI

Enso Therapy Group, LLC

  • Counseling Psychologist
  • Overland Park, KS
National Provider Identifier
1306357645
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
ENSO THERAPY GROUP, LLC
Practice address
9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097
Phone
(913) 220-2450
Fax
(913) 220-2423
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Mr. Carl L. Christensen, JD
Title
Business Manager
Phone
(913) 220-2450

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X KS Primary

Addresses

Primary practice location

9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097

Mailing address

9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097
Phone (913) 220-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509003007 KS Part B Supplier - Clinic/Group Practice 0345504858 Receives reassigned benefits from 7 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

9200 Indian Creek Pkwy
Ste 380
Overland Park, KS 66210
Phone (913) 220-2450

9200 Indian Creek Pkwy
Ste 660
Overland Park, KS 66210
Phone (816) 522-3566

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1306357645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY STE 660",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102097",
            "telephone_number": "913-220-2450",
            "fax_number": "913-220-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY STE 660",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102097",
            "telephone_number": "913-220-2450",
            "fax_number": "913-220-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSO THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "913-220-2450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": null,
            "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 Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.