Active NPI
Jennifer Lynn Cullen, LCPC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1346726817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03109
- Practice address
- 8005 W 110TH St Ste 210
Overland Park, KS 66210-2619 - Phone
- (136) 674-2609
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3175 | KS | |
| Professional Counselor | 101YP2500X | 03109 | KS | Primary |
Addresses
Primary practice location
8005 W 110TH St Ste 210
Overland Park, KS 66210-2619
Mailing address
8005 W 110TH St
Suite 210
Overland Park, KS 66210-2345
Phone (913) 667-4260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3175 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748736000000",
"number": "1346726817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8005 W 110TH ST",
"address_2": "SUITE 210",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102345",
"telephone_number": "913-667-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 W 110TH ST STE 210",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102619",
"telephone_number": "136-674-2609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2025-06-01",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3175",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "03109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
- Suzanna Marie Cubit
- Justin Boles Cudnik, RDN
- Nayalisa M Cuevas
- Thomas Alonzo Cuevas, M.D.
- Bethany Rae Cuiksa, PHARMD
- Robert Daniel Cullen, M.D.
- Cultivate Education Corporation (Cultivate Behavioral Health and Education)
- Mary Ellen Culver, PH.D.
- Christopher Thomas Cummings, D.O.
- Jessica Elizabeth Cummings, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.