Amy Buckman, LCPC

Individual provider Active NPI Mental Health Counselor · Shawnee Mission, KS

NPI 1881743946 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1881743946
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
313 (KS)
Practice address
8645 College Blvd
Suite 220
Shawnee Mission, KS 66210-1835
Phone
(913) 484-8294
Fax
(913) 681-5381
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
313KSMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 313 KS Yes

Addresses

Primary practice location

8645 College Blvd
Suite 220
Shawnee Mission, KS 66210-1835

Mailing address

8645 College Blvd
Suite 220
Overland Park, KS 66210-1835
Phone (913) 484-8294

Other providers in Shawnee Mission, KS

All providers in Shawnee Mission, KS · Mental Health Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.