Monarch Play Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4383 Issued in KS

Legal business name

MONARCH PLAY THERAPY, LLC

Practice address

947 New Hampshire St
Suite 209
Lawrence, KS 66044-3073

Phone

(785) 218-1829

NPI assigned

Nov 13, 2014

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bridget Dixon, LSCSW

Title

Therapist/Owner

Phone

(785) 218-1829

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1992101265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 NEW HAMPSHIRE ST",
            "address_2": "SUITE 209",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443073",
            "telephone_number": "785-218-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 NEW HAMPSHIRE ST",
            "address_2": "SUITE 209",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443073",
            "telephone_number": "785-218-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH PLAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "785-218-1829",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200860730B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Erica Jean Molde, LSCSW
• Riley Mongoven
• Audrey Marie Montanez
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• Charles Mooney
• Kimberly Ann Moore

• Clinical Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.