Individual provider Active NPI

Jason Michael Hurd, LMSW

  • Social Worker
  • Olathe, KS
National Provider Identifier
1346028214
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11238 Issued in KS
Practice address
612 N Parker St
Olathe, KS 66061-2438
Phone
(913) 523-6081
Fax
(913) 392-7199
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11238 KS
Social Worker 104100000X 11238 KS Primary

Addresses

Primary practice location

612 N Parker St
Olathe, KS 66061-2438

Mailing address

PO Box 19114
Lenexa, KS 66285-9114
Phone (913) 523-6081

Other practice location 1

15310 W 89th Pl
Lenexa, KS 66219-1128
Phone (913) 523-6081

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
11238KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lavender Springs Behavioral Health LLC Addiction (Substance Use Disorder) CurrentSince Jan 21, 2024 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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1346028214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19114",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662859114",
            "telephone_number": "913-523-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N PARKER ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612438",
            "telephone_number": "913-523-6081",
            "fax_number": "913-392-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15310 W 89th Pl",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662191128",
            "country_code": "US",
            "telephone_number": "913-523-6081",
            "fax_number": "913-392-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "11238",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.