Shaun Lanceine Meek, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2733 Issued in KS

Practice address

509 Maple St
Coffeyville, KS 67337-4814

Phone

(620) 515-1907

Fax

(620) 222-9316

NPI assigned

Sep 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shaun L Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olive Branches, LLC

  • Marriage & Family Therapist
  • Coffeyville, KS
  • NPI 1538650783
  NPD Authorized official

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1194150102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673370001",
            "telephone_number": "620-515-1907",
            "fax_number": "620-222-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MAPLE ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374814",
            "telephone_number": "620-515-1907",
            "fax_number": "620-222-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEK",
        "first_name": "SHAUN",
        "middle_name": "LANCEINE",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2557",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201085550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUN",
            "last_name": "HENDERSON",
            "middle_name": "L",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle A. McGuirk, MD
• Carolyn M McIlwain, CCC-SLP
• Trina McIntosh
• Medicalodges, Inc.
• Medicalodges, Inc.
• Diane Mendoza
• Kerry Louise Mersberg, DC CPED
• Joseph Maylen Miller, MSW DCSW LSCSW
• Tiffany Renae Miller, PHARMD
• ML-Op Coffeyville LLC

• All providers in Coffeyville, KS
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.