Individual provider Active NPI

Jennifer Thate-Stocks, LPC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1942047873
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04732-T Issued in KS
Practice address
3795 W 95TH St
Overland Park, KS 66206-2036
Phone
(913) 286-0422
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 04732-T KS Primary

Addresses

Primary practice location

3795 W 95TH St
Overland Park, KS 66206-2036

Mailing address

3795 W 95TH St
Overland Park, KS 66206-2036
Phone (913) 286-0422

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
04732-TKSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
KC Developmental Therapies, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

3795 W 95th St
Overland Park, KS 66206
Phone (913) 286-0422

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1942047873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662062036",
            "telephone_number": "913-286-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662062036",
            "telephone_number": "913-286-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATE-STOCKS",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04732-T",
            "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 Jul 9, 2024; 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.