MR. ELTON MICHAEL PRIDDY


Address: 12400 W 62nd Ter, Suite G, Shawnee, KS 66216-1833
Phone: 9134493696

MR. ELTON MICHAEL PRIDDY (NPI# 1366587016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366587016
Entity Type Individual
Full Name MR. ELTON MICHAEL PRIDDY
Other Name MR. E. MICHAEL PRIDDY
Credential LCPC
Practice Address 12400 W 62nd Ter
Suite G
Shawnee
KS 66216-1833
Mailing Address Po Box 24131
Overland Park
KS 66283-4131
Practice Telephone 9134493696
Practice Fax Number 9135484816
Mailing Telephone 9134493696
Mailing Fax Number 9135484816
Enumeration Date 2007-02-20
Last Update Date 2010-04-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
2002008095 MO Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
229 KS Behavioral Health & Social Service Providers

Office Location

Street Address 12400 W 62ND TER
SUITE G
City SHAWNEE
State KS
Zip Code 66216-1833

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912431925 Sara Fattaey Social Worker 7020 Constance St, Shawnee, KS 66216 2017-04-17
1952778631 Martin Gale Volker Pharmacist 13550 W 63rd Street, Shawnee, KS 66216 2015-08-28
1952799827 Susan Thomure Physical Therapy Assistant 6401 Long, Shawnee, KS 66216 2014-12-31
1144594326 Tom Wigginton Medical, Inc. Durable Medical Equipment & Medical Supplies 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 2012-03-06
1548572811 Tyler Ross Young Optometrist 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 2010-07-02
1689801441 Charles Richard Ford Ophthalmology 4742 Black Swan Drive, Shawnee, KS 66216 2009-06-18
1659412237 Carol J. Akers Dentist 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 2007-02-08
1699788307 Douglas A Anderson Chiropractor 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 2006-08-14
1861442451 Dayna M Brinckman Dentist 7407 Noland Rd, Shawnee, KS 66216 2006-05-12
1932164894 Vintage Park At Lenexa LLC Assisted Living Facility 8710 Caenen Lake Road, Lenexa, KS 66216 2006-04-20
Find all providers in zip 66216

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205469616 Fatemeh Mohammadzadeh Counselor 6840 Silverheel St, Shawnee, KS 66226-5300 2020-02-14
1740844968 Advocates for Change Family Services Pllc Counselor 610 N Broadway Ave, Shawnee, OK 74801-6202 2019-04-23
1861884074 Sara Pounds Counselor 600 W Independence St # 900, Shawnee, OK 74804-4320 2015-02-25
1336580281 Sarah Anne Lake Counselor 1127 N. Kickapoo St., Shawnee, OK 74801-4845 2013-07-08
1396185468 Oscar Mckinley Counselor 14921 W 71st Ter, Shawnee, KS 66216-4010 2013-07-03
1023361409 Kristy Ann Morrell Counselor 706 Madeline Dr, Shawnee, OK 74801-6564 2012-10-22
1942503008 Elizabeth R. Nelson Counselor 905 E. Wilson St, Shawnee, OK 74804-3263 2010-12-13
1467782680 Tammy L Rome Counselor 14601 W 61st St, Shawnee, KS 66216-3876 2010-01-11
1982847885 Stacy Renee Henson Counselor 1414 N Kennedy Ave Ste 111, Shawnee, OK 74801-4761 2009-04-08
1649416520 Toppie Lincicome Counselor 2252 Gray Dove, Citizen Potawatomi Nation Clinic 2307 S. Gordon Cooper, Shawnee, OK 74804-2359 2008-12-26
Find all providers in SHAWNEE

Competitor

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City SHAWNEE
Zip Code 66216

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Dataset Information

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.

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