Nicole D Ensminger, LMFT

Individual provider Active NPI Marriage & Family Therapist · El Dorado, KS

NPI 1225898679 · NPPES record last updated Mar 21, 2024

Key facts

NPI
1225898679
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
03500 (KS)
Practice address
142 N Main St
El Dorado, KS 67042-2001
Phone
(316) 308-1027
NPI assigned
Mar 21, 2024
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

State licenses

LicenseStateTypeSpecialty
03500KSMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03500 KS Yes

Addresses

Primary practice location

142 N Main St
El Dorado, KS 67042-2001

Mailing address

116 S Taylor St
El Dorado, KS 67042-2828
Phone (316) 308-1027

Other providers in El Dorado, KS

All providers in El Dorado, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.