Individual provider Active NPI

Carol L Esau, M.S.

  • Marriage & Family Therapist
  • Kingman, KS
National Provider Identifier
1164822953
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2648 Issued in KS
Practice address
760 W D Ave
Ste 1
Kingman, KS 67068-1222
Phone
(620) 663-7595
Fax
(620) 663-5263
NPI assigned
Aug 28, 2014
Last updated
Jan 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2648 KS Primary

Addresses

Primary practice location

760 W D Ave
Ste 1
Kingman, KS 67068-1222

Mailing address

1600 N Lorraine St
Ste 202
Hutchinson, KS 67501-5670
Phone (620) 663-7595

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2648KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Mental Health Center, Inc. Marriage & Family Therapist PastSince Jul 1, 1993 Accepting new patients
Horizons Mental Health Center, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1164822953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST",
            "address_2": "STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015670",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W D AVE",
            "address_2": "STE 1",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681222",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESAU",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.