Organization Active NPI

Keith Kobes, LLC

  • Counseling Psychologist
  • Overland Park, KS
National Provider Identifier
1447796420
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0878 Issued in KS
Legal business name
KEITH KOBES, LLC
Practice address
8575 W. 110TH St
218
Overland Park, KS 66210-2620
Phone
(913) 345-0033
Fax
(913) 345-0177
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mr. Keith J Kobes, PH.D.NPI 1073738233
Title
Psychologist
Phone
(913) 345-0033

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 0878 KS
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 0878 KS Primary

Addresses

Primary practice location

8575 W. 110TH St
218
Overland Park, KS 66210-2620

Mailing address

8575 W. 110TH St
218
Overland Park, KS 66210-2620
Phone (913) 345-0033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170124001361 KS Part B Supplier - Clinic/Group Practice 6507148707 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1447796420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 W. 110TH ST",
            "address_2": "218",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "913-345-0033",
            "fax_number": "913-345-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W. 110TH ST",
            "address_2": "218",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "913-345-0033",
            "fax_number": "913-345-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH KOBES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "KOBES",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-345-0033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "KS",
            "license": "0878",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "0878",
            "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 Jan 13, 2017; 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.