Jennifer Hodgson, PSYD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LP2890 Issued in KS

Practice address

10555 Marty St Ste 100
Overland Park, KS 66212-2555

Phone

(913) 649-8820

Fax

(913) 649-8823

NPI assigned

May 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 22, 2020 through Sep 22, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1346730793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 MARTY ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122555",
            "telephone_number": "913-649-8820",
            "fax_number": "913-649-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 MARTY ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122555",
            "telephone_number": "913-649-8820",
            "fax_number": "913-649-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "JENNIFER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "TLP4983",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "LP2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert C Hodes, M.D.
• Michelle Hodgdon, APRN
• Gail Ann Hodges, PTA
• Glenn Ross Hodges, MD
• Janie Carol Hodges, C.P.T.A.
• Diana Hoelscher, PHARMD
• Sara Marie Hoestje, M.D.
• Kaylee R. Hoffman, PT, DPT
• Sara Hoffman
• Amy Hoffmann

• Cognitive & Behavioral Psychologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Cognitive & Behavioral Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.