Healthcare Provider Details

I. General information

NPI: 1013171867
Provider Name (Legal Business Name): KATRINA OSTMEYER-KOUNTZMAN BCBA, T-LMLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
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

PO BOX 860063
SHAWNEE KS
66286-0063
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 TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP2579
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA100
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: