Individual provider Active NPI

Cynthia S George

  • Marriage & Family Therapist
  • Derby, KS
National Provider Identifier
1396142030
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2338 Issued in KS
Practice address
1415 N Buckner St
Derby, KS 67037-2929
Phone
(316) 788-6464
NPI assigned
Nov 24, 2014
Last updated
Nov 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2338 KS Primary

Addresses

Primary practice location

1415 N Buckner St
Derby, KS 67037-2929

Mailing address

1415 N Buckner St
Derby, KS 67037-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2338KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Meek Family Therapy Group LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Let's Talk and Move Therapy LLC PastSince Apr 13, 2025 Accepting new patients

Locations

1415 N Buckner St
Derby, KS 67037
Phone (316) 399-4613

1525 N Buckner St
Derby, KS 67037
Phone (316) 788-6464

Organizations & group practices 2

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1396142030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N BUCKNER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372929",
            "telephone_number": "316-788-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

Verify at the official NPI Registry.