NPIMap

Organization Active NPI

Mary Archer, LLC

Doing business as Archway Psychotherapy

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1417597097
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARY ARCHER, LLC
Doing business as
Archway Psychotherapy
Mary Archer, LLC
Practice address
25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573
Phone
(913) 494-8550
NPI assigned
Jan 10, 2020
Last updated
Mar 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Authorized official

Name
Mary Archer, LSCSWNPI 1356889059
Title
Therapist
Phone
(816) 387-3215

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573

Mailing address

25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573
Phone (913) 494-8550

Other names 2

  • Archway Psychotherapy Doing business as
  • Mary Archer, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106003256 KS Part B Supplier - Clinic/Group Practice 1658805189 Receives reassigned benefits from 7 practitioners
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Locations

110 N Cherry St
Ste 100
Olathe, KS 66061
Phone (816) 387-3215

110 N Cherry St
Ste 110
Olathe, KS 66061
Phone (210) 325-9823

25055 W Valley Pkwy
Ste 102
Olathe, KS 66061
Phone (913) 494-8550

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773532800000",
    "number": "1417597097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25055 W VALLEY PKWY STE 102",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618573",
            "telephone_number": "913-494-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 W VALLEY PKWY STE 102",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618573",
            "telephone_number": "913-494-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ARCHER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "816-387-3215",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archway Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Archer, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.