Mary Ann Altenbernd, LPC
Individual provider Active NPI Professional Counselor · Leawood, KS
NPI 1104123553 · NPPES record last updated Feb 22, 2011
Key facts
- NPI
- 1104123553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2105 (KS)
- Practice address
- 8900 State Line Rd
Suite435
Leawood, KS 66206-1960 - Phone
- (913) 907-7911
- Fax
- (913) 221-0152
- NPI assigned
- Feb 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2105 | KS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2105 | KS | Yes |
Addresses
Primary practice location
8900 State Line Rd
Suite435
Leawood, KS 66206-1960
Mailing address
8900 State Line Rd
Suite435
Leawood, KS 66206-1960
Phone (913) 907-7911
Other providers in Leawood, KS
- James V. Allen
- Makeilee Reiko Allen
- Maslyn Delaney Allen
- Virginia Claire Allen
- Alli Brattin-Volkens DPT LLC
- Anthony A Altomare
- Robert H Altomare
- Amedisys Kansas LLC
- David Michael Amsterdam
- Kyle A Anderson
All providers in Leawood, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.