Richard Bates
Individual provider Active NPI Marriage & Family Therapist · Leavenworth, KS
NPI 1326418294 · NPPES record last updated Jan 28, 2016
Key facts
- NPI
- 1326418294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2733 (KS)
- Practice address
- 205 S 5TH St
Leavenworth, KS 66048-2602 - Phone
- (913) 271-7099
- NPI assigned
- Oct 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2733 | KS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2733 | KS | Yes |
Addresses
Primary practice location
205 S 5TH St
Leavenworth, KS 66048-2602
Mailing address
205 S 5TH St
Suite 13
Leavenworth, KS 66048-2602
Phone (913) 271-7099
Other providers in Leavenworth, KS
- Jared Marshall Barrow
- Joseph Bartenslager
- Dominic Michael Bastinelli
- Roberta Padilla Bateman
- Hanna May Bates-Crosby
- Sheryl Lynn Bayes-Weiner
- Saig Beasley
- Sara Beaudry
- Lisa Joan Beaver
- Christina M Becerra
All providers in Leavenworth, 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 Jan 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.