Individual provider Active NPI

Kelly Davis, LMFT

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1720369291
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1255 Issued in KS
Practice address
8826 Santa Fe Dr Ste 210
Overland Park, KS 66212-3672
Phone
(816) 945-2317
Fax
(913) 499-8666
NPI assigned
Aug 29, 2011
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1255 KS Primary

Addresses

Primary practice location

8826 Santa Fe Dr Ste 210
Overland Park, KS 66212-3672

Mailing address

8826 Santa Fe Dr Ste 210
Overland Park, KS 66212-3672
Phone (816) 945-2317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1720369291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123672",
            "telephone_number": "816-945-2317",
            "fax_number": "913-499-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123672",
            "telephone_number": "816-945-2317",
            "fax_number": "913-499-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "1255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 29, 2014; 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.