Individual provider Active NPI

Jason Southard, LMSW

  • Social Worker
  • Overland Park, KS
National Provider Identifier
1982141420
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10176 Issued in KS
Practice address
8000 W 127TH St
Overland Park, KS 66213-2714
Phone
(913) 951-4300
Fax
(913) 951-4321
NPI assigned
Jan 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10176 KS Primary

Addresses

Primary practice location

8000 W 127TH St
Overland Park, KS 66213-2714

Mailing address

5924 Reeds Rd
Apt # 103
Mission, KS 66202-3439
Phone (620) 875-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420001902 KS Practitioner - Clinical Social Worker 5890150130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford County Mental Health Center 13 clinicians

Practice addresses (Care Compare)

911 E Centennial Dr
Crawford County Mental Health
Pittsburg, KS 66762-6601
Phone (620) 231-5130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10176KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford County Mental Health Center CurrentSince Apr 19, 2024 Accepting new patients

Locations

911 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 338-7282

Organizations & group practices 2

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1982141420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 REEDS RD",
            "address_2": "APT # 103",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023439",
            "telephone_number": "620-875-3906",
            "fax_number": "816-508-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W 127TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132714",
            "telephone_number": "913-951-4300",
            "fax_number": "913-951-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "JASON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.