Individual provider Active NPI

Kimberly N Ekum Anthony, LCMFT NCC

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1467534776
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
032 Issued in KS
Practice address
9700 W 87TH St
Overland Park, KS 66212-4563
Phone
(913) 433-2061
Fax
(913) 262-0818
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 032 KS Primary

Addresses

Primary practice location

9700 W 87TH St
Overland Park, KS 66212-4563

Mailing address

9700 W 87TH St
Overland Park, KS 66212-4563
Phone (913) 433-1061

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
032KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Hospice of Northeast Kansas, Inc. Past Accepting new patients
Catholic Charities of Northeast Kansas Inc Marriage & Family Therapist Past Accepting new patients

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1467534776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124563",
            "telephone_number": "913-433-1061",
            "fax_number": "913-262-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124563",
            "telephone_number": "913-433-2061",
            "fax_number": "913-262-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKUM ANTHONY",
        "first_name": "KIMBERLY",
        "middle_name": "N",
        "credential": "LCMFT NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "032",
            "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 Apr 22, 2008; 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.