Individual provider Active NPI

Jamie Lea Nellans, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1871891689
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4540 Issued in KS
Practice address
6811 Shawnee Mission Pkwy
Suite 310
Overland Park, KS 66202-4031
Phone
(785) 764-3490
Fax
(913) 229-7511
NPI assigned
Mar 2, 2011
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 4540 KS Primary

Addresses

Primary practice location

6811 Shawnee Mission Pkwy
Suite 310
Overland Park, KS 66202-4031

Mailing address

4121 W 83Rd St Ste 227
Prairie Village, KS 66208-5323
Phone (785) 764-3490

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

LicenseStateTypeSpecialty
4540KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings Therapy LLC Clinical Current Accepting new patients

Locations

4121 W 83rd St
Ste 227
Prairie Vlg, KS 66208
Phone (913) 384-6542

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1871891689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST STE 227",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085323",
            "telephone_number": "785-764-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024031",
            "telephone_number": "785-764-3490",
            "fax_number": "913-229-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLANS",
        "first_name": "JAMIE",
        "middle_name": "LEA",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4540",
            "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 Aug 5, 2019; 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.