Individual provider Active NPI

Rebecca Ruth Maccallum

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1497409874
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2007 Issued in KS
Practice address
6750 Antioch Rd Ste 210
Overland Park, KS 66204-1260
Phone
(888) 631-3938
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 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 2007 KS Primary

Addresses

Primary practice location

6750 Antioch Rd Ste 210
Overland Park, KS 66204-1260

Mailing address

13505 S Mur Len Rd Ste 105
Olathe, KS 66062-1600
Phone (913) 963-1392

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
I20251230003689 KS Practitioner - Mental Health Counselor 7719473636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15422 S Shannan LN
Olathe, KS 66062-3382

15954 S Mur Len Rd
Suite 225
Olathe, KS 66062-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Counseling LLC Professional CurrentSince Nov 17, 2025 Accepting new patients
Mac Associates LLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

13505 S Mur Len Rd
Ste 105
Olathe, KS 66062

15954 S Mur Len Rd
Olathe, KS 66062
Phone (913) 210-4213

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1497409874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 S MUR LEN RD STE 105",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621600",
            "telephone_number": "913-963-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 ANTIOCH RD STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041260",
            "telephone_number": "888-631-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCALLUM",
        "first_name": "REBECCA",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.