NPIMap

Organization Active NPI

Kathleen J. Keenan, PH.D., L.L.C.

  • Counseling Psychologist
  • Overland Park, KS
National Provider Identifier
1346579745
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
994 Issued in KS
Legal business name
KATHLEEN J. KEENAN, PH.D., L.L.C.
Practice address
10965 Granada Lane
Suite 101
Overland Park, KS 66211-1412
Phone
(913) 777-6665
Fax
(913) 345-0090
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Mrs. Kathleen J Keenan, PH.D.
Title
Owner/Operator
Phone
(913) 648-1870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 994 KS Primary

Addresses

Primary practice location

10965 Granada Lane
Suite 101
Overland Park, KS 66211-1412

Mailing address

10965 Granada Lane
Suite 101
Overland Park, KS 66211-1412
Phone (913) 777-6665

National Provider Directory

National Provider Directory

Locations

10965 Granada Ln
Ste 101
Overland Park, KS 66211
Phone (913) 777-6665

4200 Somerset Dr
Ste 254
Prairie Vlg, KS 66208
Phone (913) 381-1810

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1346579745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 GRANADA LANE",
            "address_2": "SUITE 101",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111412",
            "telephone_number": "913-777-6665",
            "fax_number": "913-345-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 GRANADA LANE",
            "address_2": "SUITE 101",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111412",
            "telephone_number": "913-777-6665",
            "fax_number": "913-345-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN J. KEENAN, PH.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "913-648-1870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "994",
            "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 Sep 13, 2021; 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.