Individual provider Active NPI

Cheryl Ann Gorrell, LPC, LCPC

  • Professional Counselor
  • Olathe, KS
National Provider Identifier
1558764175
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013024555 Issued in MO
Practice address
18719 W 163Rd Terrace
Olathe, KS 66062
Phone
(913) 901-7897
NPI assigned
Sep 28, 2014
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 02975 KS
Professional Counselor 101YP2500X 2013024555 MO Primary

Addresses

Primary practice location

18719 W 163Rd Terrace
Olathe, KS 66062

Mailing address

15050 W 138TH St Unit 4017
Olathe, KS 66063-5476
Phone (913) 901-7897

Other names 1

  • Annie. Gorrell Professional name

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
I20241212000442 KS Practitioner - Mental Health Counselor 7517493653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15050 W 138TH St
Suite 4017
Olathe, KS 66063-5401
Phone (913) 901-7897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02975KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope to Heartsease Counseling Professional CurrentSince Nov 1, 2024 Accepting new patients
The Luminaries Project LLC Professional PastSince May 1, 2015 Accepting new patients

Locations

15050 W 138th St
Unit 4017
Olathe, KS 66063
Phone (913) 901-7897

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1558764175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 W 138TH ST UNIT 4017",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660635476",
            "telephone_number": "913-901-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18719 W 163RD TERRACE",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-901-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2022-07-27",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "02975",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013024555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE.",
            "last_name": "GORRELL",
            "credential": "LPC, LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.