MANDY WHITEHEAD – Professional Counselor, NPI 1205433919

MANDY WHITEHEAD is a healthcare provider. based in Mission, Kansas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 3458 (KS). The NPI Number for MANDY WHITEHEAD is 1205433919

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MANDY WHITEHEAD
NPI
1205433919
Phone
(913) 826-4200
Address
6000 LAMAR AVE STE 130
Enumeration Date
6 October 2020
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135579096
Graduation Year
2019 (7 years ago)
PAC ID
3971036856
Group Practice PAC ID
1557255940
Professional Enrollment ID
I20241030003658
Address ID
KS660714920PA25955STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

387 MENTAL HEALTH COUNSELOR in KS

Provider Addresses for MANDY WHITEHEAD

  • 6000 LAMAR AVE STE 130

    MISSION, KS 662023299

    Phone: (913) 826-4200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241030003658IMental Health CounselorKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557255940View full group profile
NameSpecialtyState
-KS
Clinical Social WorkerKS
Marriage And Family TherapistCO
Mental Health CounselorKS
Nurse PractitionerIA
Nurse PractitionerKS
Mental Health CounselorKS
Clinical PsychologistKS
Mental Health CounselorKS
Mental Health CounselorKS

Reviews

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Frequently asked questions

Does MANDY WHITEHEAD share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MANDY WHITEHEAD uses 1205433919.
Is MANDY WHITEHEAD still practicing?
MANDY WHITEHEAD is currently listed as active in the public NPI registry.
What is MANDY WHITEHEAD's specialty?
The listing groups MANDY WHITEHEAD with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does MANDY WHITEHEAD list a practice location?
Patients near Mission, Kansas may find MANDY WHITEHEAD in results; validate coverage separately.
Why does MANDY WHITEHEAD have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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