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CASSY KELLY, LLC
NPI 1285369371
Clinic/Center - Mental Health (Including Community Mental Health Center) in Overland Park, KS

Active since July 21, 2022
7221 W 79TH ST STE 105, OVERLAND PARK, KS 66204(913) 444-0083 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Jul 21, 2022 (2 updates tracked since 2022).

About Cassy Kelly, Llc NPPES

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

CASSY KELLY, LLC (NPI 1285369371) is a healthcare organization registered as a mental health (including community mental health center) in Overland Park, Kansas and active in the NPI registry since July 2022. The organization lists Stacey M Deister, Credentialer, as its authorized official.

NPPES Registry Identity

NPI1285369371
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCASSY KELLY, LLC
Location Address7221 W 79TH ST STE 105Overland Park, KS 66204-2906
Mailing Address7221 W 79th St Ste 105Overland Park, KS 66204-2906 · (913) 444-0083
Phone(913) 444-0083
Organization SubpartNo
Authorized OfficialStacey M DeisterCredentialer · (816) 365-4070
Enumeration DateJuly 21, 2022
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1285369371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7221 W 79TH ST STE 105, Overland Park, KS 66204
Open in Google Maps ↗

Other Identifiers 1

Medicaid30004819650001KS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASANDRA JOYCE KELLY LCSW
Social Worker (Clinical)
7221 W 79TH ST STE 105
OVERLAND PARK, KS 66204
Johnson County (913) 444-0083

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 Cassy Kelly, LLC's NPI number?

The NPI number for Cassy Kelly, LLC is 1285369371. It was assigned to this organization in the NPPES registry on July 21, 2022.

Where is Cassy Kelly, LLC located?

Cassy Kelly, LLC is located at 7221 W 79th St Ste 105, Overland Park, KS 66204. The listed phone number is (913) 444-0083.

What is Cassy Kelly, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Cassy Kelly, LLC was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.