BOULEVARD PSYCHOLOGY, LLC
NPI 1508085291
Psychologist - Counseling in Overland Park, KS

Active since April 24, 2007
6240 W 135TH ST STE 200, OVERLAND PARK, KS 66223(913) 499-4302(913) 308-0880 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

About Boulevard Psychology, Llc NPPES

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

BOULEVARD PSYCHOLOGY, LLC (NPI 1508085291) is a healthcare organization registered as a counseling in Overland Park, Kansas and active in the NPI registry since April 2007. The organization lists Wendy Susan Eaves, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1508085291
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameBOULEVARD PSYCHOLOGY, LLC
Location Address6240 W 135TH ST STE 200Overland Park, KS 66223-4849
Mailing Address6240 W 135th St Ste 200Overland Park, KS 66223-4849 · (913) 499-4302 · Fax (913) 499-4304
Fax(913) 308-0880
Organization SubpartNo
Authorized OfficialWendy Susan EavesManaging Member · (913) 499-4302
Enumeration DateApril 24, 2007
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1508085291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in KS · KS 811
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
6240 W 135TH ST STE 200, Overland Park, KS 66223

Other Identifiers 1

Other19320048KS · Blue Cross Blue Shield

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)

Boulevard Psychology, 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 Boulevard Psychology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1770596892
6240 W 135TH ST STE 200
Overland Park, KS 66223
(913) 499-4302
✔ 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 Boulevard Psychology, LLC's NPI number?

The NPI number for Boulevard Psychology, LLC is 1508085291. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Boulevard Psychology, LLC located?

Boulevard Psychology, LLC is located at 6240 W 135th St Ste 200, Overland Park, KS 66223. The listed phone number is (913) 499-4302.

What is Boulevard Psychology, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Boulevard Psychology, LLC enrolled in Medicare?

Yes. Boulevard Psychology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boulevard Psychology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Boulevard Psychology, 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 Boulevard Psychology, LLC was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.