Jeanene Marie Mall, TLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T-LMFT 1261 Issued in KS

Practice address

7381 W 133Rd St
Suite 260
Overland Park, KS 66213-4750

Phone

(913) 647-8092

NPI assigned

Sep 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1275814253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9504 W 104TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125603",
            "telephone_number": "913-206-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 W 133RD ST",
            "address_2": "SUITE 260",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134750",
            "telephone_number": "913-647-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALL",
        "first_name": "JEANENE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "TLMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "T-LMFT 1261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Louise Majerus
• Boniface Makundi
• Deanna Kay Malek, MA CCC-SLP
• Dara Maley
• Krista Maline, PTA
• Jill L Mall, LCSW, LSCSW
• Morgan Catherine Mallette, LSCSW, LCSW
• John A Mallory, MD
• Rebekah Mallory, PTA, LMT
• Cora A Mallot, MD

• Marriage & Family Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.