Mindy S Kitterman, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW 1575 Issued in KS

Practice address

8787 Ballentine, Suite 1200
Mill Creek Outpatient Services
Overland Park, KS 66214-1979

Phone

(913) 339-9933

Fax

(913) 339-9915

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mill Creek Outpatient Services LLC

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1578889770
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1841483377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N ANNE SHIRLEY DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616790",
            "telephone_number": "913-904-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BALLENTINE, SUITE 1200",
            "address_2": "MILL CREEK OUTPATIENT SERVICES",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141979",
            "telephone_number": "913-339-9933",
            "fax_number": "913-339-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTERMAN",
        "first_name": "MINDY",
        "middle_name": "S",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "MO 2010033353",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "LCAC 133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Kirchhoff, APRN, PMHMP
• Dweice Nichelle Kirk
• Alexis Kirkman, RBT
• Victoria Belinda Kirubakaran, M.S. L.M.L.P., L.C.P
• Wendy L Kirwan, ARNP, NNP
• Chanel Fortier Kittle, LMSW, MSM
• Sarah Kittle, OTR
• Jeffrey Brian Kivett, RPH
• Kivisto Chiropractic P.a.
• Thomas B Kivisto, DC

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.