Active NPI
Cristinette Likiardopoulos, T-LMFT
- Marriage & Family Therapist
- Derby, KS
National Provider Identifier
1346641636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2572
- Practice address
- 215 E Madison Ave
Derby, KS 67037-1711 - Phone
- (316) 530-2963
- NPI assigned
- Sep 5, 2014
- Last updated
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2572 | KS | Primary |
Addresses
Primary practice location
215 E Madison Ave
Derby, KS 67037-1711
Mailing address
215 E Madison Ave
Derby, KS 67037-1711
Phone (316) 530-2963
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 |
|---|---|---|---|
| 2572 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoe Center, LLC | Marriage & Family Therapist | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Derby, KS
- NPI 1043768286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1346641636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MADISON AVE",
"city": "DERBY",
"state": "KS",
"postal_code": "670371711",
"telephone_number": "316-530-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MADISON AVE",
"city": "DERBY",
"state": "KS",
"postal_code": "670371711",
"telephone_number": "316-530-2963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIKIARDOPOULOS",
"first_name": "CRISTINETTE",
"name_prefix": "Mrs.",
"credential": "T-LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "2572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.