Individual provider Active NPI

Marilea Williams, LMFT

  • Marriage & Family Therapist
  • Manhattan, KS
National Provider Identifier
1730875907
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2931 Issued in KS
Practice address
2030 Browning Ave
Manhattan, KS 66502-1928
Phone
(316) 371-6186
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 2931 KS Primary

Addresses

Primary practice location

2030 Browning Ave
Manhattan, KS 66502-1928

Mailing address

2030 Browning Ave
Manhattan, KS 66502-1928
Phone (316) 371-6186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015001932 KS Practitioner - Marriage and Family Therapist 1355873407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2931KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues for Change CurrentSince Aug 9, 2024 Accepting new patients

Locations

809 S Patton Rd
Great Bend, KS 67530
Phone (620) 796-2206

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1730875907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BROWNING AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665021928",
            "telephone_number": "316-371-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BROWNING AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665021928",
            "telephone_number": "316-371-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARILEA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.