Mary Vanderman, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4012 Issued in KS

Practice address

9200 Indian Creek Pkwy Ste 380
Overland Park, KS 66210-2008

Phone

(913) 220-2450

Fax

(913) 220-2423

NPI assigned

Aug 3, 2005

Last updated

Jul 7, 2020By the provider in NPPES

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

Other names 1

• Mary Vanderman Professional name

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Enso Therapy Group LLCGroup PAC ID 0345504858, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enso Therapy Group, LLC

  • Counseling Psychologist
  • Overland Park, KS
  • NPI 1306357645

  Mental Health

  Medicare reassignment Care Compare group NPD
• Theresa R Hubbard LLC

  • Marriage & Family Therapist
  • Liberty, MO
  • NPI 1497078646
  NPD
• The Samaritan Counseling Center, Inc.

  • Professional Counselor
  • Montgomery, AL
  • NPI 1326080003
  NPD (past)
• Total Health Psychology PC

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1558314492
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1689675373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY STE 380",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102008",
            "telephone_number": "913-220-2450",
            "fax_number": "913-220-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY STE 380",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102008",
            "telephone_number": "913-220-2450",
            "fax_number": "913-220-2423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cerner CMH - Employee Wellness Ctr",
            "address_2": "2401 Grand Blvd #100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64108",
            "country_code": "US",
            "telephone_number": "816-412-2355",
            "fax_number": "816-421-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERMAN",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "VANDERMAN",
            "credential": "LSCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dariah Van Pelt, LCPC
• Amy Van, DC
• Gerrit Scott Vander Voort, PHARM.D.
• Rebekah Vandergriff, LMSW, CBIS
• David Vanderhofe, LCSW, LMAC
• Patricia A. Vandeurzen, CRNA
• Choua Vang, APRN
• Muskan Vankwani, MD
• Audra Nicole Vanmatre
• Donald Dean Vannaman, M.D.

• Mental Health Counselor in Overland Park, KS
• Providers in Overland Park, 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 Jul 7, 2020; 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.

Verify at the official NPI Registry.