DR. WENNDY DUPKOSKI MALLICOAT (NPI# 1306908306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306908306 |
| Entity Type | Individual |
| Full Name | DR. WENNDY DUPKOSKI MALLICOAT |
| Other Name | MS. WENNDY NICOLE DUPKOSKI |
| Credential | LPC-S, LPC, NCC, PH. |
| Practice Address |
2817 Folsom Street Leavenworth KS 66048 |
| Practice Telephone | 8032107422 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | #201314279 | MO | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | #5165 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5165 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
#201314279 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
#5165 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6103176 | 05 |
| Street Address |
2817 FOLSOM STREET |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134663248 | Shannon Moran | Counselor | 500 Limit St, Leavenworth, KS 66048-4435 | 2016-12-08 |
| 1770652281 | Steven Wright Nimrod | Counselor | 3515 S 4th Street, Professional Association, Leavenworth, KS 66048 | 2006-11-07 |
| 1053493189 | Susan Diane Nimrod | Counselor | 3515 S 4th Street, Professional Association, Leavenworth, KS 66048 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933802 | Jason Channing Porter | Counselor | 10985 Cody St Ste 105, Overland Park, KS 66210-1240 | 2020-08-22 |
| 1285244566 | Erin Sunsong | Counselor | 13227 W 96th St, Lenexa, KS 66215-1314 | 2020-08-03 |
| 1619586120 | Krisha Parmar | Counselor | 2323 N Woodlawn Blvd, Wichita, KS 67220-3945 | 2020-07-30 |
| 1851916340 | Transformed Life and Health Inc | Counselor | 923 Windsor Rd, Chanute, KS 66720-2546 | 2020-06-10 |
| 1154958015 | New You Family Services, Inc. | Counselor | 9900 W 105th Ter, Overland Park, KS 66212-5649 | 2020-03-23 |
| 1679113864 | Jared Warner Finley | Counselor | 2708 W 43rd Ave., Kansas City, KS 66103 | 2020-01-15 |
| 1528608676 | Kc Counseling Center | Counselor | 9393 W 110th St Ste 515, Overland Park, KS 66210-1442 | 2020-01-07 |
| 1831732940 | Andrew Jamison | Counselor | 700 N Market St Ste A, Wichita, KS 67214-3530 | 2019-10-21 |
| 1245880871 | Alonzo Cunningham | Counselor | 1515 Sw 10th Ave, Topeka, KS 66604-1304 | 2019-09-16 |
| 1740844091 | Kylee Pearson | Counselor | 1700 E Sheridan St, Olathe, KS 66062-2122 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
Please comment or provide details below to improve the information on DR. WENNDY DUPKOSKI MALLICOAT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.