Individual provider Active NPI

Stephenie Klotzbach, LCMFT

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1851934228
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3071 Issued in KS
Practice address
9401 Indian Creek Pkwy Ste 180
Overland Park, KS 66210-2090
Phone
(913) 210-0484
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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 3071 KS Primary

Addresses

Primary practice location

9401 Indian Creek Pkwy Ste 180
Overland Park, KS 66210-2090

Mailing address

9401 Indian Creek Pkwy Ste 180
Overland Park, KS 66210-2090
Phone (913) 210-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3071KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1851934228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 INDIAN CREEK PKWY STE 180",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102090",
            "telephone_number": "913-210-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 INDIAN CREEK PKWY STE 180",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102090",
            "telephone_number": "913-210-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZBACH",
        "first_name": "STEPHENIE",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "3071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.