Individual provider Active NPI

Angela Marie Stevens, LMFT

  • Marriage & Family Therapist
  • Mission, KS
National Provider Identifier
1265150726
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03406 Issued in KS
Practice address
5201 Johnson Dr Ste 305
Mission, KS 66205-2920
Phone
(785) 615-6253
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03406 KS Primary

Addresses

Primary practice location

5201 Johnson Dr Ste 305
Mission, KS 66205-2920

Mailing address

23114 W 46TH St
Shawnee, KS 66226-2406
Phone (682) 559-0006

Other practice location 1

23114 W 46th St
Shawnee, KS 66226-2406
Phone (682) 559-0006

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL angelamm99@msn.com Direct
CONNECT URL angelamm99@msn.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903003292 KS Practitioner - Marriage and Family Therapist 8224577374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Therapeutics, Inc CurrentSince Jun 12, 2024 Accepting new patients

Locations

200 Southwind Pl
Ste 201
Manhattan, KS 66503
Phone (785) 323-8632

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1265150726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23114 W 46TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262406",
            "telephone_number": "682-559-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 JOHNSON DR STE 305",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052920",
            "telephone_number": "785-615-6253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23114 W 46th St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662262406",
            "country_code": "US",
            "telephone_number": "682-559-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "angelamm99@msn.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "23114 W 46th St",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662262406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "angelamm99@msn.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Personal",
            "address_1": "23114 W 46th St",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662262406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.