Organization Active NPI

Dr Funtimes Mental Wellness LLC

  • Psychiatry Physician
  • Overland Park, KS
National Provider Identifier
1376278648
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DR FUNTIMES MENTAL WELLNESS LLC
Practice address
7050 W 107TH St Ste 10
Overland Park, KS 66212-1921
Phone
(913) 205-2677
NPI assigned
Jul 20, 2022
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Dr. Jennifer Ann Brown, DNP, APRN
Title
Nurse Practitioner
Phone
(913) 444-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7050 W 107TH St Ste 10
Overland Park, KS 66212-1921

Mailing address

4045 NE Lakewood Way Ste 130
Lees Summit, MO 64064-1995
Phone (913) 205-2677

National Provider Directory

National Provider Directory

Locations

833 SW Lemans Ln
Lees Summit, MO 64082
Phone (816) 673-3132

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1376278648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 NE LAKEWOOD WAY STE 130",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641995",
            "telephone_number": "913-205-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W 107TH ST STE 10",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121921",
            "telephone_number": "913-205-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FUNTIMES MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "913-444-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Aug 27, 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.

Verify at the official NPI Registry.