Individual provider Active NPI

Kelsey Bickley, LPC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1962055541
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3445 Issued in KS
Practice address
8575 W 110TH St Ste 304
Overland Park, KS 66210-2620
Phone
(913) 787-3498
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3445 KS Primary

Addresses

Primary practice location

8575 W 110TH St Ste 304
Overland Park, KS 66210-2620

Mailing address

12840 Barkley St Apt 203
Overland Park, KS 66209-3852
Phone (913) 797-3498

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
3445KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Counseling LLC Professional CurrentSince Jul 28, 2019 Accepting new patients

Locations

8575 W 110th St
Ste 304
Shawnee Mission, KS 66210
Phone (913) 345-0033

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1962055541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 BARKLEY ST APT 203",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093852",
            "telephone_number": "913-797-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST STE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "913-787-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLEY",
        "first_name": "KELSEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3445",
            "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 22, 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.