Individual provider Active NPI

Diane A Gaunt, ARNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Overland Park, KS
National Provider Identifier
1356345805
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
74065 Issued in KS
Practice address
Lifestance Health
8400 W 110TH Street Suite 250
Overland Park, KS 66210-2461
Phone
(913) 210-2019
Fax
(913) 327-7054
NPI assigned
Jun 10, 2005
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 74065 KS Primary

Addresses

Primary practice location

Lifestance Health
8400 W 110TH Street Suite 250
Overland Park, KS 66210-2461

Mailing address

8400 W 110TH St Ste 250
Overland Park, KS 66210-2461
Phone (913) 210-2019

Other identifiers 1

IdentifierTypeStateIssuer
100331210AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612000581 KS Practitioner - Certified Clinical Nurse Specialist (CNS) 3971545591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric and Counseling Associates LLCGroup PAC ID 6507881422, 41 clinicians

Practice addresses (Care Compare)

8400 W 110TH St
Suite 250
Overland Park, KS 66210-2461
Phone (913) 327-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
74065KSMDPsychiatric/Mental Health Clinical Nurse Specialist

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.dianegaunt@154228.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1356345805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 W 110TH ST STE 250",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102461",
            "telephone_number": "913-210-2019",
            "fax_number": "316-686-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFESTANCE HEALTH",
            "address_2": "8400 W 110TH STREET SUITE 250",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102461",
            "telephone_number": "913-210-2019",
            "fax_number": "913-327-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUNT",
        "first_name": "DIANE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100331210A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.