Healthcare Provider Details

I. General information

NPI: 1821911082
Provider Name (Legal Business Name): PRACTURA PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 INDIAN CREEK PKWY STE 564
OVERLAND PARK KS
66210-2008
US

IV. Provider business mailing address

11937 W 119TH ST STE 353
OVERLAND PARK KS
66213-2215
US

V. Phone/Fax

Practice location:
  • Phone: 913-449-7401
  • Fax:
Mailing address:
  • Phone: 913-449-7401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MISTY SMITH
Title or Position: CEO
Credential:
Phone: 913-449-7401