Active NPI
Joel T Gustafson, LPC., LCMFT
- Marriage & Family Therapist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2735
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2735 | KS | MD | Professional Counselor |
| 2241 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstones of Care | Professional | Past | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1720447212
Professional
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1881664365
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.