Brandon Mark Cunningham, LCSW, LSCSW, CRADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05584 Issued in KS

Practice address

1707 E Cedar St Ste 103
Olathe, KS 66062-1886

Phone

(620) 262-7771

NPI assigned

Nov 17, 2021

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Johnson County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission, KS
  • NPI 1174513444

  Multi-Specialty

  Medicare reassignment NPD
• Lavender Springs Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Lenexa, KS
  • NPI 1164293502

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Johnson County Mental Health Center

  • Community/Behavioral Health Agency
  • Mission, KS
  • NPI 1689324907
  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1588320295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19114",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662859114",
            "telephone_number": "913-523-6081",
            "fax_number": "913-392-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E CEDAR ST STE 103",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621886",
            "telephone_number": "620-262-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082776",
            "country_code": "US",
            "telephone_number": "620-262-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15310 W 89th Pl",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662191128",
            "country_code": "US",
            "telephone_number": "913-523-6081",
            "fax_number": "913-392-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 W Spruce St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660613123",
            "country_code": "US",
            "telephone_number": "913-826-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "BRANDON",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW, LSCSW, CRADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "11808",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021036486",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Jean Crotty
• Shandra Crouch, PHARMD
• Lisa Crough, RN ARNP MSN
• Sara Cruse, LSCSW
• Carol Cummings, M.A., BCBA, LBA
• Diane Colleen Cunningham
• Emma Cunningham, MS, LAT, ATC
• Kristina Cunningham
• Mitchelene Joellen Cunningham, LMSW,LAC
• Betty Lou Currie, LMSW

• Clinical Social Worker in Olathe, KS
• Providers in Olathe, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.