Individual provider Active NPI

Morgan Ticum, LCMFT

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1326681081
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03186 Issued in KS
Practice address
8645 College Blvd Ste 125
Overland Park, KS 66210-2034
Phone
(913) 228-3056
NPI assigned
Oct 24, 2019
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3150 KS
Marriage & Family Therapist 106H00000X 3084 KS
Marriage & Family Therapist 106H00000X 03186 KS Primary

Addresses

Primary practice location

8645 College Blvd Ste 125
Overland Park, KS 66210-2034

Mailing address

8645 College Blvd Ste 125
Overland Park, KS 66210-2034
Phone (913) 228-3056

Other practice location 1

5600 W 95th St Ste 216
Overland Park, KS 66207-2968
Phone (913) 735-9540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616000936 KS Practitioner - Marriage and Family Therapist 0941772487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5045 Southridge St
Roeland Park, KS 66205-1325

8645 College Blvd
Suite 125
Overland Park, KS 66210-1801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3150KSMDProfessional Counselor
03186KSMDMarriage & Family Therapist
3084KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ticum Therapy LLC Current Accepting new patients

Locations

8645 College Blvd
Ste 125
Overland Park, KS 66210
Phone (913) 375-9397

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1326681081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 COLLEGE BLVD STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102034",
            "telephone_number": "913-228-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 COLLEGE BLVD STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102034",
            "telephone_number": "913-228-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 W 95th St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662072968",
            "country_code": "US",
            "telephone_number": "913-735-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICUM",
        "first_name": "MORGAN",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "3150",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "3084",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.