Individual provider Active NPI

Tanya Elaine Hessong, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1861541476
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2253 Issued in KS
Practice address
9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097
Phone
(913) 850-9100
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2253 KS Primary

Addresses

Primary practice location

9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097

Mailing address

6325 Maple Dr
Mission, KS 66202-4315
Phone (913) 206-2906

Other identifiers 2

IdentifierTypeStateIssuer
100098080COtherKSSED WAIVER
100098080AMedicaidKS

Other names 1

  • Ms. Tanya Elaine Combs Former name

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
I20070622000553 KS Practitioner - Clinical Social Worker 0749389385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9200 Indian Creek Pkwy
Suite 660
Overland Park, KS 66210-2097
Phone (913) 850-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2253KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya Hessong, Lscsw, LCSW, LLC Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

9200 Indian Creek Pkwy
Ste 660
Overland Park, KS 66210
Phone (816) 522-3566

11936 W 119th St
#353
Overland Park, KS 66213

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1861541476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 MAPLE DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662024315",
            "telephone_number": "913-206-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY STE 660",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102097",
            "telephone_number": "913-850-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSONG",
        "first_name": "TANYA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SED WAIVER",
            "identifier": "100098080C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "COMBS",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "LSCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.