Mitchelene Joellen Cunningham, LMSW,LAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7824 Issued in KS

Practice address

301 N Monroe St
Olathe, KS 66061-3162

Phone

(913) 782-0283

NPI assigned

May 21, 2012

Last updated

May 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Mitchelene Joellen Cunningham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1942560248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "telephone_number": "913-782-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MONROE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613162",
            "telephone_number": "913-782-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MITCHELENE",
        "middle_name": "JOELLEN",
        "name_prefix": "Mrs.",
        "credential": "LMSW,LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "773",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCHELENE",
            "last_name": "CUNNINGHAM",
            "middle_name": "JOELLEN",
            "prefix": "MRS.",
            "credential": "LMSW,LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carol Cummings, M.A., BCBA, LBA
• Brandon Mark Cunningham, LCSW, LSCSW, CRADC
• Diane Colleen Cunningham
• Emma Cunningham, MS, LAT, ATC
• Kristina Cunningham
• Betty Lou Currie, LMSW
• Christen Deanne Curry
• Antonio Lamont Cuthbertson, FNP-C
• Beth D'Anna, D.C.
• Thomas M Dagg, MD

• Social Worker in Olathe, KS
• Providers in Olathe, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.