| Existential Family Therapy | |
|
6750 Antioch Rd Ste 210 Overland Park KS 66204 | |
| (913) 730-6389 | |
| (913) 397-6487 |
| Full Name | Existential Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6750 Antioch Rd Ste 210, Overland Park, Kansas |
| Authorized Official Name and Position | Nathan D. Croy (OWNER) |
| Authorized Official Contact | 9137306389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Existential Family Therapy 6750 Antioch Rd Ste 210 Overland Park KS 66204-1260 Ph: (913) 730-6389 | Existential Family Therapy 6750 Antioch Rd Ste 210 Overland Park KS 66204 Ph: (913) 730-6389 |
| NPI Number | 1376097246 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Medicare PECOS PAC ID | 1951636315 |
|---|---|
| Medicare Enrollment ID | O20190709000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376097246 | NPI | - | NPPES |
| 201142850A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Lea A Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487696613 PECOS PAC ID: 6507913969 Enrollment ID: I20090422000336 |
| Provider Name | Kelly Eledge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386809218 PECOS PAC ID: 5395156384 Enrollment ID: I20210615000923 |
| Provider Name | Nathan D. Croy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821423351 PECOS PAC ID: 4688909047 Enrollment ID: I20231214001799 |
| Provider Name | Jenine Louise Reimer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841631306 PECOS PAC ID: 9133563612 Enrollment ID: I20240223001118 |
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