GRAY HORSE MENTAL WELLNESS LLC (NPI# 1508330101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508330101 |
| Entity Type | Organization |
| Organization Name | GRAY HORSE MENTAL WELLNESS LLC |
| Practice Address |
3500 N 99th St Kansas City KS 66109 |
| Mailing Address |
4917 Woodstock St Shawnee KS 66218-9141 |
| Practice Telephone | 9136381246 |
| Mailing Telephone | 9136381246 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | MANDY AYCOCK (OWNER, PRACTITIONER) |
| Authorized Official Telephone | 9136381246 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3500 N 99TH ST |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796688 | Lance Miller | Pharmacist | 10510 Parallel, Kansas City, KS 66109 | 2015-12-09 |
| 1386016293 | Tara Newton | Community Health Worker | 2821 N 91 St, Kansas City, KS 66109 | 2015-10-30 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1033559570 | Legends Dental Group, P.a. | Dentist | 10818 Parallel Parkway, Kansas City, KS 66109 | 2013-06-28 |
| 1215277694 | Kristin Kathleen Porter | Dietitian, Registered | 10124 Hutton Road, Kansas City, KS 66109 | 2013-02-22 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| 1356642276 | Anjali Doshi | Dentist | 10818 Parallel Pkwy, Kansas City, KS 66109 | 2010-11-09 |
| 1841411675 | Wendy Ann Brakhage | Chiropractor | 2300 Hutton Road, Suite 101, Kansas City, KS 66109 | 2007-05-01 |
| 1205953742 | Lisa R Gonzales | Dentist | 10203 Leavenworth Road, Kansas City, KS 66109 | 2007-03-22 |
| 1497898290 | Shannon R Margherio | Physical Therapist | 1801 N 98th Street, Kansas City, KS 66109 | 2007-02-14 |
| Find all providers in zip 66109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255382 | Lindsey June Orlowski | Counselor | 3216 Gillham Rd, Suite 210, Kansas City, MO 64109 | 2020-01-28 |
| 1447800875 | Galen Bahadoorsingh | Counselor | 4010 Washington St Ste 505, Kansas City, MO 64111-2610 | 2019-09-17 |
| 1689227324 | Matthew Elbridge Langston | Counselor | 3211 Woodland Ave., Kansas City, MO 64109 | 2019-07-22 |
| 1205395928 | Brian James Mcmahon | Counselor | 2942 Wabash Ave, Kansas City, MO 64109-2170 | 2019-03-13 |
| 1013471937 | Shannon Moss | Counselor | 2515 Lexington Ave, Kansas City, MO 64124-1638 | 2019-01-24 |
| 1043792237 | Samantha Welty | Counselor | 2000 Olathe Blvd, Mailstop 4004, Kansas City, KS 66160-8505 | 2018-09-04 |
| 1598250821 | Ada L Hedger | Counselor | 1201 Nw Briarcliff Pkwy Ste 256, Kansas City, MO 64116-1878 | 2018-06-28 |
| 1497267082 | Denise Marie Naggi | Counselor | 3626 Charlotte St, Kansas City, MO 64109-2636 | 2017-11-03 |
| 1972012276 | James Casey Mcpheeters | Counselor | 9901 N Harrison Dr, Kansas City, MO 64155-2064 | 2017-09-29 |
| 1649798950 | Kimberly Renee Brtton | Counselor | 751 E 63rd St Ste 209, Kansas City, MO 64110-3385 | 2017-09-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66109 |
Please comment or provide details below to improve the information on GRAY HORSE MENTAL WELLNESS LLC.
| 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.