Active NPI
Nick T Butcher, M.A., L.C.P.C.
- Professional Counselor
- Olathe, KS
National Provider Identifier
1669575759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 773
- Practice address
- 12185 S Foxridge Dr
Olathe, KS 66062-1089 - Phone
- (913) 440-9137
- Fax
- (913) 490-3168
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1999142227 | MO | |
| Professional Counselor | 101YP2500X | LPC0022227 | CO | |
| Professional Counselor | 101YP2500X | 773 | KS | Primary |
| Mental Health Counselor | 101YM0800X | TPMC2699 | FL |
Addresses
Primary practice location
12185 S Foxridge Dr
Olathe, KS 66062-1089
Mailing address
12185 S Foxridge Dr
Olathe, KS 66062-1089
Phone (913) 440-9137
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404001829 | KS | Practitioner - Mental Health Counselor | 5294259834 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brightside Medical PA
Practice addresses (Care Compare)
Wichita, KS 67216
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC2699 | FL | MD | Mental Health Counselor |
| LPC0022227 | CO | MD | Professional Counselor |
| 1999142227 | MO | MD | Professional Counselor |
| 773 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.a. | Current | Accepting new patients | |
| Tava Clinical Services of California, P.C. | Mental Health | Past | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
4925 S Broadway Ave
Wichita, KS 67216
Phone (316) 227-1989
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1689450207
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1669575759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12185 S FOXRIDGE DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621089",
"telephone_number": "913-440-9137",
"fax_number": "913-490-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12185 S FOXRIDGE DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621089",
"telephone_number": "913-440-9137",
"fax_number": "913-490-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "NICK",
"middle_name": "T",
"credential": "M.A., L.C.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "1999142227",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC0022227",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "773",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "TPMC2699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.