Individual provider Active NPI

Anthony Bedora, LPC

  • Mental Health Counselor
  • Overland Park, KS
National Provider Identifier
1881289296
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
03695 Issued in KS
Practice address
5750 W 95TH St Ste 220
Overland Park, KS 66207-2969
Phone
(913) 717-6586
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3604 KS
Mental Health Counselor 101YM0800X 03695 KS Primary

Addresses

Primary practice location

5750 W 95TH St Ste 220
Overland Park, KS 66207-2969

Mailing address

8904 Vista Dr
Lenexa, KS 66220-8237

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email Direct

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
03695KSMDMental Health Counselor
3604KSMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1881289296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 VISTA DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662208237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W 95TH ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072969",
            "telephone_number": "913-717-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDORA",
        "first_name": "ANTHONY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3604",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "03695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "Hushmail used for HIPAA communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "basic communication",
            "address_1": "5750 W 95th St Ste 220",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662072969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 8, 2021; 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.