| Enso Therapy Group, Llc | |
|
9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 | |
| (913) 220-2450 | |
| (913) 220-2423 |
| Full Name | Enso Therapy Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9200 Indian Creek Pkwy Ste 660, Overland Park, Kansas |
| Authorized Official Name and Position | Carl L. Christensen (BUSINESS MANAGER) |
| Authorized Official Contact | 9132202450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enso Therapy Group, Llc 9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 Ph: (913) 220-2450 | Enso Therapy Group, Llc 9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 Ph: (913) 220-2450 |
| NPI Number | 1306357645 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 01/18/2018 |
| Medicare PECOS PAC ID | 0345504858 |
|---|---|
| Medicare Enrollment ID | O20180509003007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306357645 | NPI | - | NPPES |
| Provider Name | Sarah A Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104157155 PECOS PAC ID: 6608906862 Enrollment ID: I20120705000638 |
| Provider Name | Mary A Vanderman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689675373 PECOS PAC ID: 6305873670 Enrollment ID: I20180710000375 |
| Provider Name | Haylie S Colby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245863125 PECOS PAC ID: 2668879545 Enrollment ID: I20210920001628 |
| Provider Name | Natasha Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770218471 PECOS PAC ID: 8426428376 Enrollment ID: I20230110002284 |
| Provider Name | Cindy Tatiana Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225482987 PECOS PAC ID: 8426429275 Enrollment ID: I20230113002572 |
| Provider Name | Micaela Leigh Mckenna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477257350 PECOS PAC ID: 2264895564 Enrollment ID: I20240506003606 |
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