Organization Active NPI

Christian Therapy and Mediation Services, LLC

  • Marriage & Family Therapist
  • Hutchinson, KS
National Provider Identifier
1477823136
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CHRISTIAN THERAPY AND MEDIATION SERVICES, LLC
Practice address
4290 N Monroe St
Hutchinson, KS 67502-2223
Phone
(620) 662-1283
Fax
(620) 662-1347
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Mark Dwain Glover, DMIN, LCMFT, LCAC
Title
Therapist
Phone
(620) 662-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4290 N Monroe St
Hutchinson, KS 67502-2223

Mailing address

4290 N Monroe St
Hutchinson, KS 67502-2223
Phone (620) 662-1283

National Provider Directory

National Provider Directory

Locations

4290 N Monroe St
Hutchinson, KS 67502
Phone (620) 662-1283

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1477823136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 N MONROE ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022223",
            "telephone_number": "620-662-1283",
            "fax_number": "620-662-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 N MONROE ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022223",
            "telephone_number": "620-662-1283",
            "fax_number": "620-662-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN THERAPY AND MEDIATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DWAIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "620-662-1283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN, LCMFT, LCAC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.