DR. JENNIFER D LUNDGREN PHD
NPI 1407204860
Psychologist - Clinical in Overland Park, KS

Q: What is Jennifer Lundgren's NPI number?

The NPI number for Jennifer Lundgren is 1407204860. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Jennifer Lundgren's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jennifer Lundgren enrolled in Medicare?

No. Jennifer Lundgren has opted out of Medicare through April 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lundgren was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 26, 2016Opted out of Medicare · through Apr 11, 2027

8400 W 110TH ST, STE. 610, OVERLAND PARK, KS 66210(913) 631-3800(913) 948-7317 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jennifer D Lundgren Phd NPPES

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

DR. JENNIFER D LUNDGREN PHD (NPI 1407204860) is an individual clinical provider in Overland Park, Kansas, licensed in Kansas (2400) and active in the NPI registry since May 2016. She has opted out of Medicare through April 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407204860

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNIFER D LUNDGRENCredential: PHD

Location Address8400 W 110TH ST, STE. 610Overland Park, KS 66210-2331

Mailing Address5030 Cherry St, Room 321Kansas City, MO 64110-2232 · (816) 235-5384 · Fax (816) 235-1082

Phone(913) 631-3800

Fax(913) 948-7317

Sole ProprietorYes

Enumeration DateMay 26, 2016

✔ NPI 1407204860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in KS · 2400✔ Licensed in MO · 2006036651

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8400 W 110TH ST, Overland Park, KS 66210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer D Lundgren Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2017 through April 11, 2027.

Opt-Out Effective DateApril 11, 2017

Opt-Out In Effect ThroughApril 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.67 typical visit price

range $53.00 – $161.67

Typical copayment $40.41 (range $13.25 – $40.41)

Most-billed visit code 99205

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

VICTORIA F YOUNG, LLC

Social Worker (Clinical)

8400 W 110TH ST, SUITE 610
OVERLAND PARK, KS 66210

Johnson County (913) 631-3800

KATHERINE HARVEY MS, RD, LD

Dietitian, Registered

8400 W 110TH ST, STE 610
OVERLAND PARK, KS 66210

Johnson County (913) 631-3800

JANET E SNOWER MSW

Social Worker (Clinical)

8400 W 110TH ST, STE 230
OVERLAND PARK, KS 66210

Johnson County (913) 906-9559

MARGARET A SULLIVAN PH.D

Psychologist (Clinical Child & Adolescent)

8400 W 110TH ST, STE 230
OVERLAND PARK, KS 66210

Johnson County (913) 906-9559

KATIE B LECLUYSE PH.D

Psychologist (Cognitive & Behavioral)

8400 W 110TH ST, STE 230
OVERLAND PARK, KS 66210

Johnson County (913) 906-9559

MS. MARY MARTHA REES LSCSW LCMFT

Marriage & Family Therapist

8400 W 110TH ST, SUITE 510
OVERLAND PARK, KS 66210

Johnson County (913) 491-3460

MRS. SUSAN KATHLEEN BJERG R.D., L.D.

Dietitian, Registered

8400 W 110TH ST, SUITE 610
OVERLAND PARK, KS 66210

Johnson County (913) 631-3800

ANNE M SCHMIDT MSW

Social Worker (Clinical)

8400 W 110TH ST, STE 230
OVERLAND PARK, KS 66210

Johnson County (913) 906-9559

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 Jennifer Lundgren's NPI number?

The NPI number for Jennifer Lundgren is 1407204860. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Jennifer Lundgren located?

Jennifer Lundgren practices at 8400 W 110th St Ste. 610, Overland Park, KS 66210. The listed phone number is (913) 631-3800.

What is Jennifer Lundgren's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Lundgren enrolled in Medicare?

No. Jennifer Lundgren has opted out of Medicare through April 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Lundgren was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.