Individual provider Active NPI

Morgyn Deane Nyman, LMSW

  • Social Worker
  • Lenexa, KS
National Provider Identifier
1861161010
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12366 Issued in KS
Practice address
12351 W 96TH Ter Ste 105
Lenexa, KS 66215-4410
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12366 KS Primary

Addresses

Primary practice location

12351 W 96TH Ter Ste 105
Lenexa, KS 66215-4410

Mailing address

12351 W 96TH Ter
Lenexa, KS 66215-4409
Phone (913) 257-3161

Other practice location 1

12351 W 96th Ter Ste 105
Lenexa, KS 66215-4410

Other practice location 2

12351 W 96th Ter
Lenexa, KS 66215-4409

Other practice location 3

12351 W 96th Ter Ste 105
Lenexa, KS 66215-4410
Phone (913) 257-3161

Other practice location 4

12351 W 96th Ter Ste 105
Lenexa, KS 66215-4410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@embark-counseling.com Direct

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
12366KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Pediatric Therapy, LLC CurrentSince Jul 24, 2022 Accepting new patients
Embark Counseling Services, LLC CurrentSince Sep 12, 2021 Accepting new patients

Locations

12351 W 96th Ter
Ste 105
Lenexa, KS 66215
Phone (913) 257-3161

Organizations & group practices 2

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1861161010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154409",
            "telephone_number": "913-257-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER STE 105",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12351 W 96th Ter Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662154410",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12351 W 96th Ter",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662154409",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12351 W 96th Ter Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662154410",
            "country_code": "US",
            "telephone_number": "913-257-3161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12351 W 96th Ter Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662154410",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYMAN",
        "first_name": "MORGYN",
        "middle_name": "DEANE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@embark-counseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12351 W 96th Ter Ste 105",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662154410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.