Active NPI
Samantha Nicole Stevens
- Behavior Technician
- Overland Park, KS
National Provider Identifier
1508335092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7725 W. 87TH Street
Overland Park, KS 66212 - Phone
- (913) 649-3838
- Fax
- (913) 766-0224
- NPI assigned
- Nov 14, 2018
- Last updated
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | KS | Primary |
Addresses
Primary practice location
7725 W. 87TH Street
Overland Park, KS 66212
Mailing address
7725 W 87TH St
Overland Park, KS 66212-1905
Phone (913) 649-3838
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Living Opportunities, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Overland Park, KS
- NPI 1154776219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1508335092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7725 W 87TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121905",
"telephone_number": "913-649-3838",
"fax_number": "913-766-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7725 W. 87TH STREET",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-649-3838",
"fax_number": "913-766-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SAMANTHA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": null,
"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 Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.