JEANINE JANTZ (NPI# 1629287529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629287529 |
| Entity Type | Individual |
| Full Name | JEANINE JANTZ |
| Credential | LPC |
| Practice Address |
4505 E 47th St S Wichita KS 67210-1651 |
| Mailing Address |
900 W Broadway St Newton KS 67114-2037 |
| Practice Telephone | 3165299100 |
| Practice Fax Number | 3165299351 |
| Mailing Telephone | 3162831950 |
| Mailing Fax Number | 3162839540 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
976 | KS | Behavioral Health & Social Service Providers |
| Street Address |
4505 E 47TH ST S |
| City | WICHITA |
| State | KS |
| Zip Code | 67210-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439871 | Emberhope, Inc | Psychologist | 4505 E 47th St S, Wichita, KS 67210-1651 | 2005-06-29 |
| 1508318908 | Michelle Ricklefs | Counselor | 4505 E 47th St S, Wichita, KS 67210-1651 | 2016-11-01 |
| 1467817312 | Sarah Nikai Vaughn | Counselor | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-12-19 |
| 1023489275 | Modena Jenkins | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-10-14 |
| 1396112793 | Marisa Jones | Counselor | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-09-01 |
| 1346622511 | Addelynn Shaida | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-06-24 |
| 1457741233 | Andrea Holden | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2015-01-30 |
| 1104226406 | Mindy Lynn Greene | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2014-08-25 |
| 1528315256 | Betty Thomasa Phillips | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2012-08-13 |
| 1750636593 | Jessica Miller | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043503642 | Allegiance Home Care Services, Inc | In Home Supportive Care | 8527 E Creed St, Wichita, KS 67210 | 2011-05-16 |
| 1780892604 | Carrie Dawn Couture | Social Worker | 4505 E 47th St. South, Wichita, KS 67210 | 2007-05-21 |
| 1174003412 | Susan Sun | Acupuncturist | 2415 S Glendale St, Wichita, KS 67210-1202 | 2018-08-16 |
| 1659547479 | Lueke B Lueken | Obstetrics & Gynecology | 2760 S Roosevelt St, Wichita, KS 67210-1304 | 2008-05-01 |
| 1730288861 | Kathryn S. Wolfe-wappelhorst | Physician Assistant | 2750 S Roosevelt St, Hunter Health Brookside Clinic, Wichita, KS 67210-1304 | 2006-09-22 |
| 1053487579 | Hunter Health Clinic, Inc | Clinic/Center | 2750 S Roosevelt St, Wichita, KS 67210-1304 | 2006-11-27 |
| 1912999020 | Cynthia Marie Pinkerton | Nurse Practitioner | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2005-08-16 |
| 1730575069 | Gracemed Health Clinic, Inc | Clinic/Center | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2015-04-14 |
| 1871888248 | Delane Vaughn | Family Medicine | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2011-06-14 |
| 1427253921 | Devin Wesley Penny | Family Medicine | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2007-06-15 |
| Find all providers in zip 67210 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393179 | Mendy Logan | Counselor | 1999 N Amidon Ave Ste 373, Wichita, KS 67203-2154 | 2020-10-09 |
| 1043850803 | Evelyn Wright | Counselor | 1034 S Burrus St, Wichita, KS 67207-3623 | 2020-01-09 |
| 1356982516 | Dynamic Counseling Services LLC | Counselor | 572 S Oliver St, Wichita, KS 67218-2351 | 2019-09-30 |
| 1376001677 | Holly Lynn Paine | Counselor | 3446 S Ida St, Wichita, KS 67216-1558 | 2019-03-05 |
| 1043712912 | Creative Bliss Therapy | Counselor | 115 Waterman Street, Wichita, KS 67202 | 2018-03-06 |
| 1467960898 | Chelsey Johnson Thornhill | Counselor | 4601 E Douglas Ave Ste 209, Wichita, KS 67218-1031 | 2018-01-19 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1922557511 | Tamell Jason-heitman | Counselor | 1333 N Broadway Ave Ste B, Wichita, KS 67214-2894 | 2016-09-24 |
| 1033663935 | Janelle Osborn | Counselor | 2205 N Parkridge Ct, Wichita, KS 67205-2004 | 2016-08-08 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| Find all providers in WICHITA | ||||
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| 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.