Donna Botinelly

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

147 Issued in KS

Practice address

1604 W 4TH St
Coffeyville, KS 67337-3334

Phone

(620) 251-8180

Fax

(620) 251-8180

NPI assigned

Apr 10, 2008

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1316110471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673010688",
            "telephone_number": "620-331-1748",
            "fax_number": "620-331-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373334",
            "telephone_number": "620-251-8180",
            "fax_number": "620-251-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTINELLY",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "LCAC 467",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelyn Bell
• Adam John Blaes, PHARMD
• Gary Blaich, D.D.S., P.A.
• Meggin Marie Blex, A.R.N.P.
• Karen L. Bone, ARNP
• James Keith Brown, RPH
• Cynthia Gail Brumback, A-GNP-C
• Elizabeth Burch, LMSW, LMLP
• Logan Michael Bustos, CRNA
• Tammie Byrd

• Marriage & Family Therapist in Coffeyville, KS
• Providers in Coffeyville, 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 30, 2014; 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.