Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Douglas Kentopp, PHD

Individual provider Mental Health Counselor · NPI 1184056905

Dr. Shane Douglas Kentopp, PHD is a Clinical Psychologist in Kansas City, Kansas. Qualified in 2023, 3 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3901 Rainbow Blvd
Kansas City, KS 66160-6214
Phone: (913) 588-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 03250 (KS)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1184056905
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 2, 2013
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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