Active NPI
Marie Shields-Pfannenstiel, LMLP,LCMFT,LCP
- Marriage & Family Therapist
- Manhattan, KS
National Provider Identifier
1295778249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 190
- Practice address
- 2001 Claflin Rd
Manhattan, KS 66502-3415 - Phone
- (785) 587-4300
- Fax
- (785) 587-4321
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0130 | KS | |
| Mental Health Counselor | 101YM0800X | 236 | KS | |
| Marriage & Family Therapist | 106H00000X | 190 | KS | Primary |
Addresses
Primary practice location
2001 Claflin Rd
Manhattan, KS 66502-3415
Mailing address
423 Houston Street
PO Box 747
Manhattan, KS 66505-0747
Phone (785) 587-4300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200450720A | Medicaid | KS | |
| 11658852 | Other | CAQH | |
| 856677 | Other | KS | BCBS |
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 |
|---|---|---|---|
| 0130 | KS | MD | Counselor |
| 236 | KS | MD | Mental Health Counselor |
| 190 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1295778249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 HOUSTON STREET",
"address_2": "PO BOX 747",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665050747",
"telephone_number": "785-587-4300",
"fax_number": "785-587-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CLAFLIN RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023415",
"telephone_number": "785-587-4300",
"fax_number": "785-587-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS-PFANNENSTIEL",
"first_name": "MARIE",
"credential": "LMLP,LCMFT,LCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KS",
"license": "0130",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "236",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200450720A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11658852",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "856677",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.