COUNSELING ASSOCIATES OF OVERLAND PARK, LLC – Psychologist, NPI 1043378847
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COUNSELING ASSOCIATES OF OVERLAND PARK, LLC
8575, West 110th Street, Overland Park, Johnson County, Kansas, 66210, United States
SUITE 302
OVERLAND PARK, KS 662102620
Phone: (913) 499-4300
Fax: (913) 499-4304
Type: Mailing
15450 Iron Horse Cir
Leawood, KS 662243852
Phone: (913) 499-4300
Type: Location
6240 W 135TH ST STE 200
OVERLAND PARK, KS 662234849
Phone: (913) 499-4300
Type: Location
15450 IRON HORSE CIR
LEAWOOD, KS 662243852
Phone: (913) 499-4300
Type: Mailing
12701 METCALF AVE STE 204
OVERLAND PARK, KS 662132854
Phone: (913) 499-4300
Type: Location
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: 2005-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050729000363 | O | Clinic/Group Practice | KS | TBD |
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.
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 66210)
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