Individual provider Active NPI

Katherine Angelle Landry, MSW, LCSW, LSCSW

  • Clinical Social Worker
  • Leawood, KS
National Provider Identifier
1659649119
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05774 Issued in KS
Practice address
7000 W 121St St Ste 100
Leawood, KS 66209-2010
Phone
(913) 732-0636
NPI assigned
Dec 12, 2011
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2019033729 MO
Clinical Social Worker 1041C0700X CSW.09924530 CO
Clinical Social Worker 1041C0700X 05774 KS Primary

Addresses

Primary practice location

7000 W 121St St Ste 100
Leawood, KS 66209-2010

Mailing address

7000 W 121St St Ste 100
Leawood, KS 66209-2010
Phone (913) 732-0636

Other names 1

  • Katie Landry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: No
  • 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
I20250409002647 KS Practitioner - Clinical Social Worker 4486916228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05774KSMDClinical Social Worker
2019033729MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KL Counseling, LLC Clinical CurrentSince Feb 27, 2025 Accepting new patients

Locations

7000 W 121st St
Ste 100
Overland Park, KS 66209
Phone (913) 498-2015

Organizations & group practices 1

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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1659649119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W 121ST ST STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092010",
            "telephone_number": "913-732-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 121ST ST STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092010",
            "telephone_number": "913-732-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KATHERINE",
        "middle_name": "ANGELLE",
        "credential": "MSW, LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019033729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LANDRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.