Cosenza Maria Bryson, LPC

Individual provider Active NPI Mental Health Counselor · Olathe, KS

NPI 1396273447 · NPPES record last updated Jun 1, 2017

Key facts

NPI
1396273447
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3031 (KS)
Practice address
21344 W. 153Rd Street
Olathe, KS 66061
Phone
(816) 718-8982
NPI assigned
Jun 1, 2017
Sex
Female
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

LicenseStateTypeSpecialty
3031KSMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3031 KS Yes

Addresses

Primary practice location

21344 W. 153Rd Street
Olathe, KS 66061

Mailing address

2731 Park Ave
Kansas City, MO 64109
Phone (816) 718-8982

Other identifiers

IdentifierTypeStateIssuer
3031MedicaidKS

Other providers in Olathe, KS

All providers in Olathe, KS · Mental Health Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.