Active NPI
Mary Yandura
- Clinical Social Worker
- Lansing, KS
National Provider Identifier
1023605375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06411
- Practice address
- 712 1St Ter Ste 207I
Lansing, KS 66043-1715 - Phone
- (913) 680-5333
- NPI assigned
- Dec 21, 2020
- Last updated
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7447 | KS | |
| Clinical Social Worker | 1041C0700X | 06411 | KS | Primary |
Addresses
Primary practice location
712 1St Ter Ste 207I
Lansing, KS 66043-1715
Mailing address
961 Clearview Dr
Lansing, KS 66043-5204
Phone (913) 680-5333
Other practice location 1
Corporate Woods Bldg 14
8717 W. 110th Street, Suite 640
Overland Park, KS 66210
Phone (913) 680-5333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mary.yandura@yanduratherapyservices.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7447 | KS | MD | Social Worker |
| 06411 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yandura Therapy Sevices | Social Worker | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Lansing, KS
- NPI 1154918415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1023605375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 CLEARVIEW DR",
"city": "LANSING",
"state": "KS",
"postal_code": "660435204",
"telephone_number": "913-680-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 1ST TER STE 207I",
"city": "LANSING",
"state": "KS",
"postal_code": "660431715",
"telephone_number": "913-680-5333"
}
],
"practiceLocations": [
{
"address_1": "Corporate Woods Bldg 14",
"address_2": "8717 W. 110th Street, Suite 640",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "66210",
"country_code": "US",
"telephone_number": "913-680-5333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANDURA",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2025-01-16",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7447",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "06411",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mary.yandura@yanduratherapyservices.org",
"affiliation": "N",
"endpointDescription": "provider email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "712 1st Ter",
"city": "Lansing",
"state": "KS",
"country_code": "US",
"postal_code": "660431735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lansing, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.