Individual provider Active NPI

Irene Bockelman, LSCSW LCMFT

  • Marriage & Family Therapist
  • Olathe, KS
National Provider Identifier
1811988306
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
239 Issued in KS
Practice address
16102 W 124TH Ter
Olathe, KS 66062-4310
Phone
(913) 634-4196
Fax
(913) 780-6955
NPI assigned
Nov 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW863 KS
Marriage & Family Therapist 106H00000X 239 KS Primary

Addresses

Primary practice location

16102 W 124TH Ter
Olathe, KS 66062-4310

Mailing address

16102 W 124TH Ter
Olathe, KS 66062-4310
Phone (913) 634-4196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20120425000200 KS Practitioner - Clinical Social Worker 3779689989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13904 W 112TH Ter
Olathe, KS 66215-7501
Phone (913) 634-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW863KSMDClinical Social Worker
239KSMDMarriage & Family Therapist
863KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Irene Bockelman, Lscsw, LLC Clinical CurrentSince Jan 1, 2012 Accepting new patients

Locations

10965 Granada Ln
Ste 103
Overland Park, KS 66211
Phone (913) 491-4788

Organizations & group practices 1

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811988306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16102 W 124TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660624310",
            "telephone_number": "913-634-4196",
            "fax_number": "913-780-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16102 W 124TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660624310",
            "telephone_number": "913-634-4196",
            "fax_number": "913-780-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKELMAN",
        "first_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LSCSW LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW863",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.