Healthcare Provider Details

I. General information

NPI: 1659923753
Provider Name (Legal Business Name): JENNIFER A ASBURY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8826 SANTA FE DR STE 207
OVERLAND PARK KS
66212-3672
US

IV. Provider business mailing address

10609 W 52ND TER
SHAWNEE KS
66203-1825
US

V. Phone/Fax

Practice location:
  • Phone: 913-735-4225
  • Fax:
Mailing address:
  • Phone: 714-612-4887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number03183
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: