Jewel A Anderson, LCPC
Individual provider Active NPI Professional Counselor · Overland Park, KS
NPI 1508515834 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1508515834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 03179 (KS)
- Practice address
- 5750 W 95TH St Ste 155
Overland Park, KS 66207-2980 - Phone
- (913) 295-9945
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03179 | KS | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 03179 | KS | Yes |
Addresses
Primary practice location
5750 W 95TH St Ste 155
Overland Park, KS 66207-2980
Mailing address
4812 W 70TH St
Prairie Village, KS 66208-2003
Phone (913) 940-8791
Other providers in Overland Park, KS
- Douglas S. Anderson
- Erin Anderson
- Ginger Marie Anderson
- James D Anderson
- Jay J Anderson
- Joseph Pat Anderson
- Julia L Anderson
- Kasen Danae Anderson
- Lauren Anderson
- Marissa Anderson
All providers in Overland Park, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.