NPIMap

Organization Active NPI

Ellie Opk

  • Mental Health Counselor
  • Overland Park, KS
National Provider Identifier
1386356319
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELLIE OPK
Doing business as
Ellie Mental Health - Overland Park
Practice address
10881 Lowell Ave Ste 130
Overland Park, KS 66210-1666
Phone
(256) 520-5035
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Dava Elizabeth McCoy, LCMFTNPI 1730840810
Title
Clinic Director
Phone
(949) 246-5321

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

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

Mailing address

11490 S Lakecrest Dr
Olathe, KS 66061-7525
Phone (949) 246-5321

Other practice location 1

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

Other practice location 2

23600 College Blvd Ste 200
Olathe, KS 66061-8709
Phone (914) 404-5232

Other names 1

  • Ellie Mental Health - Overland Park Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.elliementalhealth.com Direct

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1386356319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 S LAKECREST DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617525",
            "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": "256-520-5035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 W 160th St # 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": "914-404-5232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLIE OPK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "DAVA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "949-246-5321",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.elliementalhealth.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10881 Lowell Ave Ste 130",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health - Overland Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health - Overland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 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.