Waneko Chantele Bivens, MM, PHD
Individual provider Active NPI Mental Health Counselor · Andover, KS
NPI 1629797303 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1629797303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- TH732068 (MS)
- Practice address
- 1524 W Elm St
Andover, KS 67002-9027 - Phone
- (302) 480-0573
- NPI assigned
- Aug 25, 2022
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TH732068 | MS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TH732068 | MS | Yes |
Addresses
Primary practice location
1524 W Elm St
Andover, KS 67002-9027
Mailing address
1524 W Elm St
Andover, KS 67002-9027
Phone (302) 480-0573
Other providers in Andover, KS
- Sharon L Barocco
- Melissa Bartlett
- Cheyenne Shelby Becker
- Micca Lyn Bentley
- Caitlin Birlingmair
- Stephanie Danielle Blake
- Jennifer Lynn Blickenstaff
- Sarah Blosser
- Terry Keith Blue
- Michaela Bolynn
All providers in Andover, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.