MR. JOEL T GUSTAFSON (NPI# 1780952820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780952820 |
| Entity Type | Individual |
| Full Name | MR. JOEL T GUSTAFSON |
| Credential | LPC., LMFT |
| Practice Address |
7381 W 133rd St Ste 260 Overland Park KS 66213-4750 |
| Practice Telephone | 9136478092 |
| Mailing Telephone | 9136478092 |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2241 | KS | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 1248 | KS | Behavioral Health & Social Service Providers |
| Street Address |
7381 W 133RD ST STE 260 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030381 | Caitlin Mordan | Counselor | 7381 W 133rd St Ste 260, Overland Park, KS 66213-4750 | 2019-08-27 |
| 1760946651 | Robert Joseph Reiss IIi | Counselor | 7381 W 133rd St Ste 260, Overland Park, KS 66213-4750 | 2019-01-25 |
| 1134537749 | Shawna Shaw | Marriage & Family Therapist | 7381 W 133rd St Ste 260, Overland Park, KS 66213-4750 | 2014-07-27 |
| 1801206610 | Scott P Sells | Social Worker | 7381 W 133rd St Ste 260, Overland Park, KS 66213-4750 | 2014-05-01 |
| 1508295098 | Cheryl Petty Donaldson | Marriage & Family Therapist | 7381 W 133rd St Ste 260, Overland Park, KS 66213-4750 | 2013-11-05 |
| 1730436908 | Kyle Curtis Horst | Marriage & Family Therapist | 7381 W 133rd St Ste 260, Overland Park, KS 66213-4750 | 2012-08-07 |
| 1821364225 | Karin Boyse Imhoff | Counselor | 7381 W 133rd St Ste 260, Overland Park, KS 66213-4750 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711371 | Danielle Edwards | Counselor | 9207 W 121st Ter, Overland Park, KS 66213-1546 | 2020-08-18 |
| 1508476524 | Catrina Brown | Counselor | 9393 W 110th St Ste 517, Overland Park, KS 66210-1442 | 2020-08-04 |
| 1336757863 | Drew W Stein | Counselor | 10429 W 117th Ter Apt 59, Overland Park, KS 66210-3809 | 2020-07-21 |
| 1003433988 | Brandi Hudson | Counselor | 6801 W 121st St Ste 123, Overland Park, KS 66209-2005 | 2020-06-26 |
| 1750905790 | Heather Hargrove | Counselor | 5750 W 95th St Ste 220, Overland Park, KS 66207-2969 | 2020-06-05 |
| 1457984833 | Reilly Dodd | Counselor | 10975 Benson Dr Ste 360, Overland Park, KS 66210-1569 | 2020-02-13 |
| 1194363127 | Jennifer Berniece Schmidt | Counselor | 9401 Indian Creek Pkwy Ste 520, Overland Park, KS 66210-2013 | 2019-12-20 |
| 1952960858 | Sydney Hobson | Counselor | 6400 W 110th St Ste 202, Overland Park, KS 66211-1585 | 2019-06-13 |
| 1013471226 | Mindworx, Pa | Counselor | 10975 Benson Dr, Overland Park, KS 66210-1569 | 2019-01-22 |
| 1760946909 | Kansas Center for Couples and Families | Counselor | 10975 Benson Dr Ste 390, Overland Park, KS 66210-2120 | 2019-01-22 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
Please comment or provide details below to improve the information on MR. JOEL T GUSTAFSON.
| 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.