Individual provider Active NPI

Jordan Mercer

  • Professional Counselor
  • Mission, KS
National Provider Identifier
1467190199
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2741 Issued in KS
Practice address
6000 Lamar Ave Ste 130
Mission, KS 66202-3234
Phone
(913) 826-4200
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2741 KS Primary

Addresses

Primary practice location

6000 Lamar Ave Ste 130
Mission, KS 66202-3234

Mailing address

6000 Lamar Ave Ste 130
Mission, KS 66202-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205003755 KS Practitioner - Mental Health Counselor 6709235534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2741KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Johnson County Mental Health Center Past Accepting new patients

Locations

6000 Lamar Ave
#130
Mission, KS 66202
Phone (913) 826-4200

920 W Spruce St
Olathe, KS 66061
Phone (913) 826-4200

1125 W Spruce St
Olathe, KS 66061
Phone (913) 782-2100

111 S Cherry St
Ste 1400
Olathe, KS 66061
Phone (913) 826-4200

6440 Nieman Rd
Shawnee, KS 66203
Phone (913) 826-4200

11120 W 65th St
Shawnee, KS 66203
Phone (913) 826-4100

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1467190199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "telephone_number": "913-826-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.