Erin Ann Reisner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3526 Issued in KS

Practice address

6440 Nieman Rd
Shawnee, KS 66203-3326

Phone

(913) 826-4200

NPI assigned

Dec 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Johnson County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission, KS
  • NPI 1174513444
  Medicare reassignment NPD
• Strive to Thrive Counseling Services, L.L.C.

  • Mental Health Counselor
  • Olathe, KS
  • NPI 1164150298
  NPD Authorized official
• 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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1629616016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023299",
            "telephone_number": "913-826-4200",
            "fax_number": "913-826-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033326",
            "telephone_number": "913-826-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISNER",
        "first_name": "ERIN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recover-Care Shawnee LLC
• Jennifer Lea Reed, M.S.ED, BCBA, LBA
• Kyle A Reed, DPT
• Tammy Lynn Reese, RN
• Regenerative Health Center LLC
• Rem Anesthesia, LLC
• Lana N Renk, PA-C
• Michael William Repp, DC
• Residential Solutions, LLC
• Resolute Dermatology

• Mental Health Counselor in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.