Active NPI
Heidi Fenton, MFT
- Marriage & Family Therapist
- Olathe, KS
National Provider Identifier
1184190605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3052
- Practice address
- 110 E Poplar St
Olathe, KS 66061-3306 - Phone
- (816) 797-6830
- NPI assigned
- Oct 23, 2018
- Last updated
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3052 | KS | Primary |
Addresses
Primary practice location
110 E Poplar St
Olathe, KS 66061-3306
Mailing address
12213 Bradshaw St
Overland Park, KS 66213-4813
Phone (816) 797-6830
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 |
|---|---|---|---|
| 3052 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1184190605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12213 BRADSHAW ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662134813",
"telephone_number": "816-797-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E POPLAR ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660613306",
"telephone_number": "816-797-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "HEIDI",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "3052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.