Terra Upham, LCP | |
423 Houston St, Manhattan, KS 66502 | |
(785) 587-4344 | |
(785) 587-4377 |
Full Name | Terra Upham |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 423 Houston St, Manhattan, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992145841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2464 (Kansas) | Secondary |
101YP2500X | Counselor - Professional | 1459 (Kansas) | Primary |
Entity Name | Pawnee Mental Health Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275580524 PECOS PAC ID: 3870406820 Enrollment ID: O20031106000608 |
Mailing Address | Practice Location Address |
---|---|
Terra Upham, LCP Po Box 747, Manhattan, KS 66505-0747 Ph: (785) 587-4300 | Terra Upham, LCP 423 Houston St, Manhattan, KS 66502 Ph: (785) 587-4344 |
Olivia Noelle Meyer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 Poyntz Ave, Manhattan, KS 66502 Phone: 785-776-4105 Fax: 785-537-2299 | |
Brett Bruning, LMFT, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1558 Hayes Dr, Manhattan, KS 66502 Phone: 785-587-4315 Fax: 785-587-4339 | |
Pilar Quinones, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1558 Hayes Dr, Manhattan, KS 66502 Phone: 785-587-4300 Fax: 785-587-4377 | |
Mallory Ann Shuler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Poyntz Ave, Manhattan, KS 66502 Phone: 785-320-7331 | |
Emily Moore, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 2001 Claflin Rd, Manhattan, KS 66502 Phone: 785-587-4300 | |
Robert Wisdom, LMLP, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1558 Hayes Dr, Manhattan, KS 66502 Phone: 785-587-4315 Fax: 785-587-4339 | |
Callie Lynea Hansen, MS, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Anderson Ave, Manhattan, KS 66503 Phone: 785-539-5455 |