Healthcare Provider Details

I. General information

NPI: 1295652634
Provider Name (Legal Business Name): ONYX MENTAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 MISSION RD STE 210
PRAIRIE VILLAGE KS
66206-1362
US

IV. Provider business mailing address

8340 MISSION RD STE 210
PRAIRIE VILLAGE KS
66206-1362
US

V. Phone/Fax

Practice location:
  • Phone: 913-642-0100
  • Fax:
Mailing address:
  • Phone: 913-642-0100
  • Fax: 913-642-0176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DEREK HENNIGH
Title or Position: OWNER
Credential: APRN, PMHNP-BC
Phone: 913-642-0100