Mandy Aycock, LPC

Individual provider Active NPI Professional Counselor · Kansas City, KS

NPI 1972928752 · NPPES record last updated Oct 27, 2015

Key facts

NPI
1972928752
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2556 (KS)
Practice address
2317 N 86TH Ter
Kansas City, KS 66109-2059
Phone
(913) 638-1246
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
No

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.

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
2556KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stable View Counseling Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2556 KS Yes

Addresses

Primary practice location

2317 N 86TH Ter
Kansas City, KS 66109-2059

Mailing address

2317 N 86TH Ter
Kansas City, KS 66109-2059
Phone (913) 638-1246

Other names

  • Mandy Todd Former name

Other providers in Kansas City, KS

All providers in Kansas City, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.