Individual provider Active NPI

Joel T Gustafson, LPC., LCMFT

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1780952820
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2735 Issued in KS
Practice address
6420 W 95TH St Ste 100
Overland Park, KS 66212-1434
Phone
(913) 826-3150
NPI assigned
Dec 4, 2011
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2241 KS
Marriage & Family Therapist 106H00000X 2735 KS Primary

Addresses

Primary practice location

6420 W 95TH St Ste 100
Overland Park, KS 66212-1434

Mailing address

9200 Glenwood St Ste 103
Overland Park, KS 66212-1304
Phone (913) 647-8092

Other practice location 1

421 E 137th St
Kansas City, MO 64145-1455
Phone (816) 508-3500 ext. 5

Other practice location 2

8150 Wornall Rd
Kansas City, MO 64114-5806
Phone (816) 508-3500

Other practice location 3

9200 Glenwood St Ste 103
Overland Park, KS 66212-1304
Phone (913) 647-8092

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

State licenses

LicenseStateTypeSpecialty
2735KSMDProfessional Counselor
2241KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstones of Care Professional PastSince Feb 9, 2025 Accepting new patients
Gillis Center, Inc. Past Accepting new patients

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, 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": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1780952820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 GLENWOOD ST STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121304",
            "telephone_number": "913-647-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W 95TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121434",
            "telephone_number": "913-826-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 E 137th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641451455",
            "country_code": "US",
            "telephone_number": "816-508-3500 x5",
            "fax_number": "816-508-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8150 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641145806",
            "country_code": "US",
            "telephone_number": "816-508-3500",
            "fax_number": "816-508-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Glenwood St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121304",
            "country_code": "US",
            "telephone_number": "913-647-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "JOEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LPC., LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-04",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2241",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2735",
            "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 Sep 15, 2026; 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.