Active NPI
Connie Criqui
- Professional Counselor
- Topeka, KS
National Provider Identifier
1235978792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2612
- Practice address
- 3500 SW 6TH Ave
Topeka, KS 66606-2814 - Phone
- (785) 640-3552
- NPI assigned
- May 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2612 | KS | Primary |
Addresses
Primary practice location
3500 SW 6TH Ave
Topeka, KS 66606-2814
Mailing address
671 E 261 St
Lyndon, KS 66451
Phone (785) 640-3552
Other practice location 1
715 Washington St
Lyndon, KS 66451-9856
Phone (785) 640-3552
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 |
|---|---|---|---|
| 2612 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1235978792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 E 261 ST",
"city": "LYNDON",
"state": "KS",
"postal_code": "66451",
"telephone_number": "785-640-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SW 6TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666062814",
"telephone_number": "785-640-3552"
}
],
"practiceLocations": [
{
"address_1": "715 Washington St",
"address_purpose": "LOCATION",
"city": "Lyndon",
"state": "KS",
"postal_code": "664519856",
"country_code": "US",
"telephone_number": "785-640-3552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIQUI",
"first_name": "CONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "2612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.