Active NPI
Shannon Easterly, LCMFT
- Marriage & Family Therapist
- Overland Park, KS
National Provider Identifier
1801806773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 686
- Practice address
- 6811 Shawnee Mission Pkwy
Ste 102
Overland Park, KS 66202-4031 - Phone
- (913) 488-4370
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 686 | KS | Primary |
Addresses
Primary practice location
6811 Shawnee Mission Pkwy
Ste 102
Overland Park, KS 66202-4031
Mailing address
6811 Shawnee Mission Pkwy
Ste 102
Overland Park, KS 66202-4031
Phone (913) 488-4370
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 |
|---|---|---|---|
| 686 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1801806773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 SHAWNEE MISSION PKWY",
"address_2": "STE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662024031",
"telephone_number": "913-488-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6811 SHAWNEE MISSION PKWY",
"address_2": "STE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662024031",
"telephone_number": "913-488-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERLY",
"first_name": "SHANNON",
"credential": "LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "686",
"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 Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.