Alexandria Wagner, LPC | |
6440 Nieman Rd, Shawnee, KS 66203-3326 | |
(913) 826-4200 | |
Not Available |
Full Name | Alexandria Wagner |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6440 Nieman Rd, Shawnee, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134679749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2976 (Kansas) | Primary |
Entity Name | Johnson County Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174513444 PECOS PAC ID: 0547156903 Enrollment ID: O20051112000009 |
Mailing Address | Practice Location Address |
---|---|
Alexandria Wagner, LPC 6000 Lamar Ave Ste 130, Mission, KS 66202-3299 Ph: (913) 826-4200 | Alexandria Wagner, LPC 6440 Nieman Rd, Shawnee, KS 66203-3326 Ph: (913) 826-4200 |
Jennifer Melby, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Douglas Johnson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994 | |
Kevin Ryan Kufeldt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Andrew Funk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4100 | |
Kristy Mccollum-wachter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4200 | |
Sue Jacobson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994 |