MARYA ALLEN (NPI# 1992747968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992747968 |
| Entity Type | Individual |
| Full Name | MARYA ALLEN |
| Credential | LMLP, LMAC |
| Practice Address |
4035 E Harry St Wichita KS 67218-3724 |
| Mailing Address |
635 N Main St Wichita KS 67203-3602 |
| Practice Telephone | 3166607550 |
| Practice Fax Number | 3163838241 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3169415075 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1237 | KS | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
728 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PREFERRED HEALTH SYSTEMS | 12989 | 01 |
| KS | BLUE CROSS BLUE SHIELD | 389893 | 01 |
| Street Address |
4035 E HARRY ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738980 | Heidi E Owens | Counselor | 4035 E Harry St, Wichita, KS 67218-3724 | 2020-10-23 |
| 1700483054 | Sergio R Ziad | Marriage & Family Therapist | 4035 E Harry St, Wichita, KS 67218-3724 | 2020-10-08 |
| 1942831862 | Jonathan D Blackwell | Counselor | 4035 E Harry St, Wichita, KS 67218-3724 | 2020-01-29 |
| 1891344685 | Meghan M Iacuzzi | Social Worker | 4035 E Harry St, Wichita, KS 67218-3724 | 2019-09-05 |
| 1083261739 | Kirsten Fraizer | Counselor | 4035 E Harry St, Wichita, KS 67218-3724 | 2019-08-19 |
| 1366098410 | Genai George | Social Worker | 4035 E Harry St, Wichita, KS 67218-3724 | 2019-08-14 |
| 1750936803 | Lindsey Harms | Social Worker | 4035 E Harry St, Wichita, KS 67218-3724 | 2019-08-06 |
| 1285197806 | Rhonda Porter | Marriage & Family Therapist | 4035 E Harry St, Wichita, KS 67218-3724 | 2019-04-10 |
| 1063979334 | Christopher D Jensen | Psychologist | 4035 E Harry St, Wichita, KS 67218-3724 | 2019-02-22 |
| 1003365248 | Margarita Baez | Counselor | 4035 E Harry St, Wichita, KS 67218-3724 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1992230510 | Sunflower Psychological Services, LLC | Psychologist | 209 E William St Ste 535, Wichita, KS 67202-4015 | 2017-04-21 |
| 1114303336 | Grace Kallimel | Psychologist | Wichita State University Counseling & Ctr, 1845 Fairmount St., Wichita, KS 67260-0091 | 2015-08-11 |
| 1629455928 | Rebecca Lynn Jabara | Psychologist | 6122 Shadybrook St, Wichita, KS 67208-1862 | 2015-05-06 |
| 1790110583 | Angie Hardage-bundy | Psychologist | 10500 E Berkeley Square Pkwy, Suite 103, Wichita, KS 67206-6815 | 2013-09-11 |
| 1700135498 | Brynne M Mulloy | Psychologist | 2552 N Maize Ct Ste 600, Wichita, KS 67205-7346 | 2012-09-10 |
| 1144581489 | Kristin L. Goodheart | Psychologist | 940 N Tyler Rd Ste 209, Wichita, KS 67212 | 2012-06-04 |
| 1053691600 | Dempsey D White | Psychologist | Wichita State University Counseling And, 1845 Fairmount St, Wichita, KS 67260-0091 | 2011-08-26 |
| 1275794711 | Nicole Danielle Mclain | Psychologist | 8700 E 29th St North, Wichita, KS 67226 | 2008-06-18 |
| 1427238682 | Luke E Carter | Psychologist | 4601 E Douglas Ave Ste 207, Wichita, KS 67218-1032 | 2007-11-05 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on MARYA ALLEN.
| 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.