MEDICARE: KASPER COUSENLING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1750235313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASPER COUSENLING LLC

Provider Business Mailing Address
First Line	:	1221 N ROCK RD STE 100
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-3675
Country	:	US
Telephone Number	:	316-204-5368
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 N ROCK RD STE 100
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-3675
Country	:	US
Telephone Number	:	316-204-5368
Fax Number	:

Authorized Official
Title or Position	:	MARRIAGE & FAMILY THERAPIST
Name	:	TY KASPER
Credential	:	LMFT
Telephone Number	:	316-204-5368

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “KASPER COUSENLING LLC ” Practice Location

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