Active NPI
Jason Southard, LMSW
- Social Worker
- Overland Park, KS
National Provider Identifier
1982141420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10176
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10176 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford County Mental Health Center | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburg, KS
- NPI 1942064423
KS
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburg, KS
- NPI 1215900899
KS
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.