Individual provider Active NPI

Jessica Halliwell, MSW, LMSW

  • Social Worker
  • Overland Park, KS
National Provider Identifier
1376387035
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW13667 Issued in KS
Practice address
10881 Lowell Ave Ste 130
Overland Park, KS 66210-1666
Phone
(949) 246-5321
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2024034222 MO
Social Worker 104100000X LMSW13667 KS Primary

Addresses

Primary practice location

10881 Lowell Ave Ste 130
Overland Park, KS 66210-1666

Mailing address

10881 Lowell Ave Ste 130
Overland Park, KS 66210-1666
Phone (949) 246-5321

Other practice location 1

7500 W 160th St Ste 100
Stilwell, KS 66085-8100
Phone (913) 404-5232

Other practice location 2

23600 College Blvd Ste 200
Olathe, KS 66061-8709
Phone (913) 538-0274

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

LicenseStateTypeSpecialty
LMSW13667KSMDSocial Worker
2024034222MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Opk Social Worker CurrentSince Jun 23, 2024 Accepting new patients
Kansas Wellness, LLC PastSince Mar 1, 2023 Accepting new patients

Locations

23600 College Blvd
Ste 200
Olathe, KS 66061
Phone (913) 538-0274

10881 Lowell Ave
Ste 130
Overland Park, KS 66210
Phone (913) 386-6889

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1376387035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 LOWELL AVE STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101666",
            "telephone_number": "949-246-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10881 LOWELL AVE STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101666",
            "telephone_number": "949-246-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 W 160th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stilwell",
            "state": "KS",
            "postal_code": "660858100",
            "country_code": "US",
            "telephone_number": "913-404-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23600 College Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660618709",
            "country_code": "US",
            "telephone_number": "913-538-0274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLIWELL",
        "first_name": "JESSICA",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024034222",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW13667",
            "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 30, 2024; 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.