Individual provider Active NPI

Jennifer Bennett Osborne, PH.D.

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1770753857
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2011031531 Issued in MO
Practice address
300 W 19TH Ter
Kansas City, MO 64108-2026
Phone
(816) 404-5709
Fax
(816) 404-6024
NPI assigned
Mar 5, 2008
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23217 CA
Psychologist 103T00000X 2011031531 MO Primary

Addresses

Primary practice location

300 W 19TH Ter
Kansas City, MO 64108-2026

Mailing address

222 W Gregory Blvd
Ste. 100
Kansas City, MO 64114-1140

Other practice location 1

222 W Gregory Blvd
Ste. 100
Kansas City, MO 64114-1140
Phone (816) 361-0664

Other identifiers 1

IdentifierTypeStateIssuer
499524502MedicaidMO

Other names 1

  • Dr. Jennifer Kathleen Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120319000194 MO Practitioner - Clinical Psychologist 4789843368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 W 19TH Ter
Kansas City, MO 64108-2026
Phone (816) 404-5709

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23217CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Mar 16, 2012 Accepting new patients
Truman Medical Center Incorporated CurrentSince Mar 16, 2012 Accepting new patients
Hutchinson & Associates LLC Psychologist PastSince Nov 1, 1998 Accepting new patients

Locations

606 S Hardy Ave
Independence, MO 64053
Phone (816) 404-5770

2900 Tracy Ave
Kansas City, MO 64109
Phone (816) 404-6360

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

300 SE 2nd St
Ste 100
Lees Summit, MO 64063
Phone (816) 246-4050

Interoperability endpoints

  • Direct secure messaging: jennifer.osborne@direct.tmcmed.org

Organizations & group practices 4

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1770753857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD",
            "address_2": "STE. 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 19TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082026",
            "telephone_number": "816-404-5709",
            "fax_number": "816-404-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Gregory Blvd",
            "address_2": "Ste. 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641141140",
            "country_code": "US",
            "telephone_number": "816-361-0664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JENNIFER",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "23217",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2011031531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499524502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BENNETT",
            "middle_name": "KATHLEEN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.