Laura Lea Henness, LMFT
Individual provider Active NPI Marriage & Family Therapist · Osawatomie, KS
NPI 1265664882 · NPPES record last updated Aug 15, 2009
Key facts
- NPI
- 1265664882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 759 (KS)
- Practice address
- 518 Brown Circle Dr
Osawatomie, KS 66064-1636 - Phone
- (913) 731-2751
- NPI assigned
- Aug 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240217000167 | KS | Practitioner - Marriage and Family Therapist | 3870937840 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 759 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyandot Center for Community Behavioral Healthcare, Inc. | Current |
Accepting new patients |
Locations
1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007
757 Armstrong Ave
Kansas City, KS 66101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 759 | KS | Yes |
Addresses
Primary practice location
518 Brown Circle Dr
Osawatomie, KS 66064-1636
Mailing address
518 Brown Circle Dr
Osawatomie, KS 66064-1636
Phone (913) 731-2751
Other providers in Osawatomie, KS
- Mariah Christine Guilfoyle
- Maria M. Gustilo
- Mary Harber
- Thyrone A. Harriman
- Alyson Lyn Hastings
- Michael Patrick Herriges
- Homestead of Osawatomie Operations, LLC
- Julie Hurlock
- Olivia Gail Johnson
- Clayton Kellerman
All providers in Osawatomie, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.