1356522940 NPI number — JANET COLEEN NEWFELT LMFT, AAPS

Table of content: JANET COLEEN NEWFELT LMFT, AAPS (NPI 1356522940)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356522940 NPI number — JANET COLEEN NEWFELT LMFT, AAPS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEWFELT
Provider First Name:
JANET
Provider Middle Name:
COLEEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT, AAPS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356522940
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/25/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1024 MARYS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WICHITA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67213-4425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-264-3285
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
650 N CARRIAGE PKWY
Provider Second Line Business Practice Location Address:
SUITE 135
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67208-4507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-685-4700
Provider Business Practice Location Address Fax Number:
316-685-8247
Provider Enumeration Date:
11/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 787 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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