Healthcare Provider Details

I. General information

NPI: 1376290791
Provider Name (Legal Business Name): DR OSTMEYER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10551 BARKLEY ST STE 205
OVERLAND PARK KS
66212-1812
US

IV. Provider business mailing address

10551 BARKLEY ST STE 205
OVERLAND PARK KS
66212-1812
US

V. Phone/Fax

Practice location:
  • Phone: 913-213-0676
  • Fax:
Mailing address:
  • Phone: 913-213-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KATRINA OSTMEYER-KOUNTZMAN
Title or Position: CEO
Credential: PHD, LP
Phone: 913-213-0676