Organization Active NPI

Mindful Therapy KC, LLC

  • Adult Mental Health Clinic/Center
  • Overland Park, KS
National Provider Identifier
1366004004
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MINDFUL THERAPY KC, LLC
Practice address
6711 W 121St St
Overland Park, KS 66209-2003
Phone
(913) 738-7922
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Ann Olsen-Meehan, LSCSWNPI 1255483426
Title
Owner / Therapist
Phone
(913) 738-7922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6711 W 121St St
Overland Park, KS 66209-2003

Mailing address

6801 W 121St St
Overland Park, KS 66209-2005
Phone (913) 738-7922

Other identifiers 1

IdentifierTypeStateIssuer
3756OtherKSBSRB LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Annie@mindfultherapykc.com

National Provider Directory

National Provider Directory

Locations

6801 W 121st St
Overland Park, KS 66209
Phone (803) 413-7159

6711 W 121st St
Overland Park, KS 66209
Phone (913) 738-7922

Practitioners & affiliated clinicians

Practitioners 1

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": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1366004004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 121ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092005",
            "telephone_number": "913-738-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 W 121ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "913-738-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY KC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN-MEEHAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "913-738-7922",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSRB LICENSE",
            "identifier": "3756",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Annie@mindfultherapykc.com",
            "affiliation": "N",
            "address_1": "6711 W 121st St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662092003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 22, 2019; 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.