Organization Active NPI

Sunflower Psychological LLC

  • Clinical Social Worker
  • Mission, KS
National Provider Identifier
1942783535
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNFLOWER PSYCHOLOGICAL LLC
Practice address
5201 Johnson Dr Ste 210
Mission, KS 66205-2920
Phone
(913) 313-2044
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Cheryl R Graves, MSW, LCSW, LSCSWNPI 1902059249
Title
Owner
Phone
(913) 313-2044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5201 Johnson Dr Ste 210
Mission, KS 66205-2920

Mailing address

6701 Reeds Rd
Overland Park, KS 66204-1538
Phone (913) 313-2044

Other identifiers 1

IdentifierTypeStateIssuer
1902059249MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305002946 MO Part B Supplier - Clinic/Group Practice 4789011859 Receives reassigned benefits from 1 practitioner
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

107 SW Market St
Ste D
Lees Summit, MO 64063
Phone (816) 379-9170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1942783535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 REEDS RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041538",
            "telephone_number": "913-313-2044",
            "fax_number": "913-229-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 JOHNSON DR STE 210",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052920",
            "telephone_number": "913-313-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-313-2044",
        "authorized_official_credential": "MSW, LCSW, LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902059249",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.