COUNSELING ASSOCIATES OF OVERLAND PARK, LLC
NPI 1043378847
Psychologist in Overland Park, KS

Active since December 05, 2006
12701 METCALF AVE STE 204, OVERLAND PARK, KS 66213(913) 499-4300 Get Directions Write a Review

NPPES record last updated: March 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Counseling Associates Of Overland Park, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNSELING ASSOCIATES OF OVERLAND PARK, LLC (NPI 1043378847) is a healthcare organization registered as a psychologist in Overland Park, Kansas and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Leawood and lists Larry William Tyndall, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1043378847
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCOUNSELING ASSOCIATES OF OVERLAND PARK, LLC
Location Address12701 METCALF AVE STE 204Overland Park, KS 66213-2854
Mailing Address15450 Iron Horse CirLeawood, KS 66224-3852 · (913) 499-4300
Organization SubpartNo
Authorized OfficialLarry William TyndallManaging Member · (913) 499-4300
Enumeration DateDecember 5, 2006
Last NPPES UpdateMarch 17, 20242 updates tracked since enumeration
NPPES CertifiedMarch 17, 2024
✔ NPI 1043378847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12701 METCALF AVE STE 204, Overland Park, KS 66213

Secondary Practice Location 1

Location 115450 Iron Horse CirLeawood, KS 66224-3852 · Phone (913) 499-4300

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Counseling Associates Of Overland Park, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Counseling Associates Of Overland Park, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1710971114
12701 METCALF AVE STE 204
Overland Park, KS 66213
(913) 499-4300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Counseling Associates Of Overland Park, LLC's NPI number?

The NPI number for Counseling Associates Of Overland Park, LLC is 1043378847. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Counseling Associates Of Overland Park, LLC located?

Counseling Associates Of Overland Park, LLC is located at 12701 Metcalf Ave Ste 204, Overland Park, KS 66213. The listed phone number is (913) 499-4300.

What is Counseling Associates Of Overland Park, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Counseling Associates Of Overland Park, LLC enrolled in Medicare?

Yes. Counseling Associates Of Overland Park, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Counseling Associates Of Overland Park, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Counseling Associates Of Overland Park, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Counseling Associates Of Overland Park, LLC was last updated on March 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.