Active NPI
Donald Mzhickteno
- Addiction (Substance Use Disorder) Counselor
- Lawrence, KS
National Provider Identifier
1861818940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 735
- Practice address
- 1739 E 23Rd St
Lawrence, KS 66046-5017 - Phone
- (785) 830-8238
- Fax
- (785) 830-8246
- NPI assigned
- Mar 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 735 | KS | Primary |
Addresses
Primary practice location
1739 E 23Rd St
Lawrence, KS 66046-5017
Mailing address
1739 E 23Rd St
Lawrence, KS 66046-5017
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
| License | State | Type | Specialty |
|---|---|---|---|
| 735 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1861818940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 E 23RD ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660465017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 E 23RD ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660465017",
"telephone_number": "785-830-8238",
"fax_number": "785-830-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MZHICKTENO",
"first_name": "DONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.