MRS. KAITLYN SUZANNE LICKTEIG (NPI# 1770183493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770183493 |
| Entity Type | Individual |
| Full Name | MRS. KAITLYN SUZANNE LICKTEIG |
| Practice Address |
7900 Lees Summit Rd Kansas City MO 64139-1246 |
| Mailing Address |
8521 Crescent Ave Raytown MO 64138-3342 |
| Practice Telephone | 8164047000 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
7900 LEES SUMMIT RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64139-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746244 | Angela L Barnett | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2005-08-02 |
| 1265059042 | Ryan Tyler Johnson | Podiatrist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-06-29 |
| 1184253676 | Tasfia Ahmed | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-06 |
| 1285263905 | Hai Song Kim | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-04 |
| 1003445990 | Matthew Timothy Myrick | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-03 |
| 1598393720 | Logan Christine Hemme | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1346878493 | Annette K Anwander | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| 1134757354 | Haley Marie Kertz | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
| 1689202707 | Desztini Howard | Student in an Organized Health Care Education/Training Program | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2020-04-01 |
| 1841828084 | Kathryn Estes | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1246 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1225122518 | Patricia A Cyrus | Nurse Practitioner | 7900 Lee's Summit Rd, Kansas City, MO 64139 | 2006-10-03 |
| 1831126358 | Megan Marie Despain | Emergency Medicine | 7900 Lee's Summit Road, Truman Medical Center Lakewood, Kansas City, MO 64139 | 2006-06-28 |
| 1427513878 | Kirsten Anne Reilly | Pediatrics | 7900 Lee's Summit Road, Department of Community and Family Medicine, Kansas City, MO 64139 | 2019-02-08 |
| 1275078552 | Elizabeth Liu | Family Medicine | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2016-12-22 |
| 1124355516 | Eric Tsai | Anesthesiology | 7900 Lee's Summit Road, Kansas City, MO 64139 | 2009-11-06 |
| 1487290185 | Hannah E Waight | Registered Nurse | 14001 E 87th St, Kansas City, MO 64139-1117 | 2019-11-18 |
| 1275956658 | Gail Byers | Psychologist | 9701 Leslie Ave, Kansas City, MO 64139-1135 | 2014-01-21 |
| 1821533399 | Courageous Home Care, LLC | In Home Supportive Care | 9609 Hocker St, Kansas City, MO 64139-1150 | 2016-12-19 |
| 1144775834 | Candy Lourens | Dietitian, Registered | 7600 Lees Summit Rd, Kansas City, MO 64139-1233 | 2016-08-23 |
| Find all providers in zip 64139 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938595 | More't R Freeman | Counselor | 1414 N 77th St, Kansas City, KS 66112-2434 | 2020-09-29 |
| 1477169795 | Josiah Thompson | Counselor | 107 W 9th St # 302, Kansas City, MO 64105-1705 | 2020-09-22 |
| 1780299719 | Timothy James Klopfenstein | Counselor | 3616 E 112th St, Kansas City, MO 64137-2323 | 2020-09-15 |
| 1770191488 | Tonesia K Vaughn | Counselor | 7140 Wornall Rd Ste 205, Kansas City, MO 64114-1369 | 2020-07-20 |
| 1053935171 | Arianna D Williams | Counselor | 1801 Nw 38th St Apt 405, Kansas City, MO 64116-4587 | 2020-06-04 |
| 1255953105 | Jill Anderson | Counselor | 3216 Gillham Plz, Kansas City, MO 64109-1742 | 2020-05-14 |
| 1770118051 | James David Toon | Counselor | 3216 Gillham Plz Ste 210, Kansas City, MO 64109-1742 | 2020-03-07 |
| 1396376349 | Carolyn Grace | Counselor | 405 Ne 90th Ter, Kansas City, MO 64155-2445 | 2020-01-29 |
| 1184262503 | John M Kuykendall | Counselor | 851 Nw 45th St Ste 101, Kansas City, MO 64116-4613 | 2019-12-16 |
| 1497392112 | Lacey Mings-upshaw | Counselor | 107 W 9th St Ste 324, Kansas City, MO 64105-1705 | 2019-12-02 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64139 |
Please comment or provide details below to improve the information on MRS. KAITLYN SUZANNE LICKTEIG.
| 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.