KOENEMAN PSYCHOLOGICAL SERVICES, LLC (NPI# 1699301077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699301077 |
| Entity Type | Organization |
| Organization Name | KOENEMAN PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
5750 W. 95th St. Suite 220 Overland Park KS 66207 |
| Practice Telephone | 9134445602 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | DR. SCOTT KOENEMAN (OWNER) |
| Authorized Official Telephone | 9134445602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Mend: Center for Psychotherapy, LLC | Doing Business As Name - Organization |
| Street Address |
5750 W. 95TH ST. SUITE 220 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1134509243 | Milburn Wheatley Hobson | Obstetrics & Gynecology | Residence 5467 W. 85 Ter., Prairie Village, KS 66207 | 2015-06-03 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1831301340 | Andrew Van Blarcom, Dds, Pa | Dentist | 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 | 2007-05-04 |
| 1336270115 | Edward D. Dallam | Dentist | 5000 W 95th St Ste 300, Prairie Village, KS 66207 | 2007-03-07 |
| 1245379809 | Willa J Kozlowski | Counselor | 5350 W. 94th Terrrace, Suite 204, Prairie Village, KS 66207 | 2007-02-06 |
| 1407994726 | Pauls Optical Company Inc | Technician/Technologist | 5352 W 95th St, Prairie Village, KS 66207 | 2007-02-01 |
| 1154484301 | The Endodontic P.C. | Dentist | 5600 West 95th St #216, Overland Park, KS 66207 | 2006-12-19 |
| 1598825515 | Angela Marie Harrish | Nurse Practitioner | 5250 West 94th Terrace, Prairie Village, KS 66207 | 2006-12-11 |
| Find all providers in zip 66207 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063939544 | Sweet Emotion Counseling Services, LLC | Community/Behavioral Health | 5105 Conser St Apt 136, Overland Park, KS 66202-5017 | 2017-08-25 |
| 1710425798 | Mr. Behavior LLC | Community/Behavioral Health | 9433 W 125th St, Overland Park, KS 66213-4732 | 2017-02-09 |
| 1699136853 | Sos Counseling International | Community/Behavioral Health | 7716 W 64th St, Overland Park, KS 66202-3813 | 2016-03-16 |
| 1275908931 | Transforming Care, LLC | Community/Behavioral Health | 7270 W 98th Ter, Suite 230, Bldg#7, Overland Park, KS 66212-2255 | 2015-12-07 |
| 1295139210 | Aspire Behavioral Solutions, LLC | Community/Behavioral Health | 12913 Lucille St, Overland Park, KS 66213-4466 | 2014-10-20 |
| 1861756207 | Dr. Jill Thorne, Licensed Psychologist, LLC | Community/Behavioral Health | 8100 Marty St Ste 107, Overland Park, KS 66204-3737 | 2012-06-29 |
| 1356640007 | Healthy Recovery Options | Community/Behavioral Health | 15460 Robinson St, Overland Park, KS 66223-2891 | 2011-03-21 |
| 1700497856 | Gina Behm Wellness, LLC | Community/Behavioral Health | 8645 College Blvd Ste 125, Overland Park, KS 66210-2034 | 2020-08-12 |
| 1326658998 | Waldmeier Counseling Services LLC | Community/Behavioral Health | 6721 W 121st St Ste 120, Overland Park, KS 66209-2031 | 2020-08-07 |
| 1003478876 | Hamilton Counseling & Consulting LLC | Community/Behavioral Health | 7930 Sante Fe Drive, Suite 108, Overland Park, KS 66204 | 2019-07-02 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66207 |
Please comment or provide details below to improve the information on KOENEMAN PSYCHOLOGICAL SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.