Jessica Allen
Individual provider Active NPI Counselor · Wichita, KS
NPI 1194455931 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1194455931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673 - Phone
- (407) 432-2588
- NPI assigned
- Jun 14, 2022
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673
Mailing address
3607 E 17TH St N Apt 1205
Wichita, KS 67208-2103
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. 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.