Individual provider Active NPI

Kathy Eileen Nace, LPC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1659846749
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3295 Issued in KS
Practice address
8575 W 110TH St Ste 218
Overland Park, KS 66210-2620
Phone
(785) 330-5754
NPI assigned
Oct 4, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3295 KS Primary

Addresses

Primary practice location

8575 W 110TH St Ste 218
Overland Park, KS 66210-2620

Mailing address

Kathy Nace/Christian Psychological Services
8575 W 110TH St Ste 218
Overland Park, KS 66210-2620
Phone (785) 330-5754

Other identifiers 1

IdentifierTypeStateIssuer
3295OtherKSKANSAS BEHAVIORAL SCIENCES REGULATORY BOARD

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
I20240923001673 KS Practitioner - Mental Health Counselor 6204377849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Westridge Dr
Christian Psychological Services
Lawrence, KS 66049-2258
Phone (785) 843-2429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3295KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Psychological Services of Lawrence and Topeka Incorporated CurrentSince Sep 1, 2024 Accepting new patients

Locations

3500 Westridge Dr
Lawrence, KS 66049
Phone (785) 843-2429

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1659846749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KATHY NACE/CHRISTIAN PSYCHOLOGICAL SERVICES",
            "address_2": "8575 W 110TH ST STE 218",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "785-330-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST STE 218",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "785-330-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACE",
        "first_name": "KATHY",
        "middle_name": "EILEEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BEHAVIORAL SCIENCES REGULATORY BOARD",
            "identifier": "3295",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.