NPIMap

Organization Active NPI

Koeneman Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Overland Park, KS
National Provider Identifier
1699301077
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KOENEMAN PSYCHOLOGICAL SERVICES, LLC
Practice address
5750 W. 95TH St. Suite 220
Overland Park, KS 66207
Phone
(913) 444-5602
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Dr. Scott Koeneman
Title
Owner
Phone
(913) 444-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5750 W. 95TH St. Suite 220
Overland Park, KS 66207

Mailing address

5750 W. 95TH St. Suite 220
Overland Park, KS 66207

Other names 1

  • Mend: Center for Psychotherapy, LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com Direct
CONNECT URL simplepractice.com Direct

National Provider Directory

National Provider Directory

Locations

5750 W 95th St
Ste 220
Overland Park, KS 66207
Phone (913) 444-5602

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1699301077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W. 95TH ST. SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W. 95TH ST. SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66207",
            "telephone_number": "913-444-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOENEMAN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "KOENEMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-444-5602",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "simplepractice.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5750 W. 95th St. Suite 220",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5750 W. 95th St. Suite 220",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mend: Center for Psychotherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.