Active NPI
Shannon Tobaben, LCPC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1609335256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03187
- Practice address
- 6520 W 110TH St Ste 200A1
Overland Park, KS 66211-1898 - Phone
- (913) 735-5221
- NPI assigned
- Mar 13, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2932 | KS | |
| Professional Counselor | 101YP2500X | 10248-125 | WI | |
| Professional Counselor | 101YP2500X | 03187 | KS | Primary |
Addresses
Primary practice location
6520 W 110TH St Ste 200A1
Overland Park, KS 66211-1898
Mailing address
6520 W 110TH St Ste 200A1
Overland Park, KS 66211-1898
Phone (913) 735-5221
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03187 | KS | MD | Professional Counselor |
| 10248-125 | WI | MD | Professional Counselor |
| 2932 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1609335256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 W 110TH ST STE 200A1",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111898",
"telephone_number": "913-735-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 W 110TH ST STE 200A1",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111898",
"telephone_number": "913-735-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBABEN",
"first_name": "SHANNON",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "2932",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10248-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "03187",
"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 Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.