Active NPI
Evergreen Therapy & Wellness
- Marriage & Family Therapist
- Manhattan, KS
National Provider Identifier
1336858190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- EVERGREEN THERAPY & WELLNESS
- Practice address
- 206-10 Southwind Place Suite 2C
Manhattan, KS 66503 - Phone
- (785) 477-4400
- NPI assigned
- Nov 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kassandra Moran
- Title
- Owner/Therapist
- Phone
- (785) 477-4400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
206-10 Southwind Place Suite 2C
Manhattan, KS 66503
Mailing address
206-10 Southwind Place Suite 2C
Manhattan, KS 66503
Phone (785) 477-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
206 Southwind Pl
Ste 2D
Manhattan, KS 66503
Phone (785) 477-4400
206 Southwind Pl
Ste 2C
Manhattan, KS 66503
Phone (785) 384-8813
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Manhattan, KS
- NPI 1013697317
-
- Social Worker
- Hays, KS
- NPI 1013172634
-
- Marriage & Family Therapist
- Manhattan, KS
- NPI 1518675024
-
- Marriage & Family Therapist
- Manhattan, KS
- NPI 1790517134
-
- Marriage & Family Therapist
- Manhattan, KS
- NPI 1174382170
-
- Marriage & Family Therapist
- Manhattan, KS
- NPI 1750207387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1336858190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206-10 SOUTHWIND PLACE SUITE 2C",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66503",
"telephone_number": "785-477-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206-10 SOUTHWIND PLACE SUITE 2C",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66503",
"telephone_number": "785-477-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN THERAPY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2024-12-05",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "KASSANDRA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "785-477-4400"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.