MYRANDA CONLEY (NPI# 1215536594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215536594 |
| Entity Type | Individual |
| Full Name | MYRANDA CONLEY |
| Credential | T-LPC |
| Practice Address |
1525 N Buckner St Derby KS 67037-2948 |
| Practice Telephone | 3167886464 |
| Practice Fax Number | 2062991262 |
| Mailing Telephone | 3167886464 |
| Mailing Fax Number | 2062991262 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
03723 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1525 N BUCKNER ST |
| City | DERBY |
| State | KS |
| Zip Code | 67037-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780859165 | Amy Meek Family Therapy | Marriage & Family Therapist | 1525 N Buckner St, Derby, KS 67037-2948 | 2008-04-25 |
| 1760959159 | Daisy J Duncan-little | Counselor | 1525 N Buckner St, Derby, KS 67037-2948 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1295227585 | James Todd Hawkins | Social Worker | 918 E Wedgewood Dr., Derby, KS 67037 | 2018-06-01 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1093161325 | Inspired Care LLC | In Home Supportive Care | 1400 E Warren Ave, Derby, KS 67037 | 2016-05-05 |
| 1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
| 1700264017 | Grant Snider Dds, LLC | Dentist | 2701 North Rock Road, Suite 600, Derby, KS 67037 | 2015-05-07 |
| 1629472691 | Anaidy Claudio | Social Worker | 265 W Village Lake Dr, Derby, KS 67037 | 2014-10-20 |
| 1396094470 | Derby Assisted Living, LLC | Assisted Living Facility | 719 N. Klein Circle, Derby, KS 67037 | 2012-09-05 |
| 1700104635 | Cynthia D Holcomb | Social Worker | 1721 E. Osage, Suite 300, Derby, KS 67037 | 2010-05-17 |
| 1295066215 | Traci Lynn Borland | Occupational Therapist | 731 Klein Circle, Derby, KS 67037 | 2010-01-15 |
| Find all providers in zip 67037 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153393 | Chrisinda Lyn Hunter | Counselor | 1221 N Rock Rd Ste 100, Derby, KS 67037-3675 | 2019-09-17 |
| 1447719158 | Kristen Elizabeth Watson | Counselor | 4095 Gore Rd, Derby, VT 05829-9408 | 2019-03-13 |
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1205292323 | Mary Varone | Counselor | 317 Silver Hill Rd Unit 4a, Derby, CT 06418-1138 | 2016-01-05 |
| 1366845182 | Ashley Sevigny | Counselor | 181 Cawford Road, Derby, VT 05829-0000 | 2014-10-07 |
| 1235215187 | Tina Lyon Dell | Counselor | 6708 Old Lake Shore Road, Derby, NY 14047-9561 | 2006-10-31 |
| 1477563724 | Mary Elaine Hayes | Counselor | 425 N Baltimore Ave, Suite 1, Derby, KS 67037-1641 | 2006-08-09 |
| 1285610584 | Lower Naugatuck Valley Parent Child Resource Center, Inc. | Counselor | 30 Elizabeth St, 3rd Floor, Derby, CT 06418-1802 | 2005-12-19 |
| 1326683343 | Jordan Alston | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2019-11-13 |
| 1750923371 | Joanna Marie Palma | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2019-10-15 |
| Find all providers in DERBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.