Allison Jantz, T-LMFT
Individual provider Active NPI Marriage & Family Therapist · Mulvane, KS
NPI 1700255692 · NPPES record last updated Sep 21, 2015
Key facts
- NPI
- 1700255692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2703 (KS)
- Practice address
- 1204 SE Louis Dr
Suite B
Mulvane, KS 67110-1113 - Phone
- (316) 777-3177
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2703 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Therapy Center, LLC | Marriage & Family Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2703 | KS | Yes |
Addresses
Primary practice location
1204 SE Louis Dr
Suite B
Mulvane, KS 67110-1113
Mailing address
1204 SE Louis Dr
B
Mulvane, KS 67110-1113
Other providers in Mulvane, KS
- Alonna Danae Galvan
- Amy L Glover
- Cheryl Hall
- Gloria Ann Holman
- Kathryn A Hopwood
- Roseann Johnson
- Tracy Lyn Jones
- Kathryn Kay Kelley
- Servillano M Lapore
- Erik Shawn Lien
All providers in Mulvane, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2015. 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.