LEGENDS EQUESTRIAN THERAPY (NPI# 1659905362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659905362 |
| Entity Type | Organization |
| Organization Name | LEGENDS EQUESTRIAN THERAPY |
| Practice Address |
1212 Sw Mulvane St Topeka KS 66604-1442 |
| Mailing Address |
Po Box 4171 Topeka KS 66604-0171 |
| Practice Telephone | 2108858696 |
| Mailing Telephone | 2108858696 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DR. LESLIE M. MCCULLOUGH (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2108858696 |
| Authorized Official Credential | PHD, LSCSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201201540A | 05 |
| Other Name | Type Code |
|---|---|
| Legends Equestrian Therapy | Doing Business As Name - Organization |
| Street Address |
1212 SW MULVANE ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66604-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184763955 | Leslie Marie Mccullough | Psychologist | 1212 Sw Mulvane St, Topeka, KS 66604-1442 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888700 | Shannon Poell | Pharmacist | 1500 W 10th St, Topeka, KS 66604 | 2020-10-13 |
| 1750921029 | Topeka Er Hospital LLC | General Acute Care Hospital | 6135 Sw 17th Street, Topeka, KS 66604 | 2020-01-14 |
| 1821641127 | Eryn Carter | Dietitian, Registered | 2611 Sw 17th St Ste 270, Topeka, KS 66604 | 2019-07-17 |
| 1427576669 | Paula J Rhoades | Marriage & Family Therapist | 2000 Sw Gage Blvd., Topeka, KS 66604 | 2017-09-08 |
| 1417486036 | Elizabeth Ann Riffel | Physical Therapy Assistant | 1250 Sw Oakley Avenue, Suite 100, Topeka, KS 66604 | 2017-06-07 |
| 1093170748 | James Wayne Fox | Counselor | 4015 Se 21 St, Topeka, KS 66604 | 2015-12-23 |
| 1013267319 | Kristin Deann Perez | Midwife | 1500 Sw 10th Street, Topeka, KS 66604 | 2012-09-13 |
| 1801187125 | Hana Albrecht | Pathology | 1500 Sw Tenth Avenue, Topeka Pathology Group, LLC, Topeka, KS 66604 | 2011-04-20 |
| 1760639298 | Jaida Nicole Kidney | Marriage & Family Therapist | 2000 Gage Boulevard, Topeka, KS 66604 | 2008-08-27 |
| 1780892505 | Robert Michael Lane | Radiologic Technologist | 1403 Sw 6th St, Topeka, KS 66604 | 2007-05-18 |
| Find all providers in zip 66604 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639675622 | Cnw.life, LLC | Community/Behavioral Health | 2611 Sw 17th St Ste 253, Topeka, KS 66604-2603 | 2018-03-30 |
| 1497105829 | Second Chance Services | Community/Behavioral Health | 501 Se Jefferson St Ste 32, Topeka, KS 66607-1173 | 2016-06-16 |
| 1922437367 | Enabled Hearth | Community/Behavioral Health | 3523 Se Long St, Topeka, KS 66605-2443 | 2013-11-06 |
| 1205264595 | Jackie Kuhn | Community/Behavioral Health | 5530 Sw Reeder St, Topeka, KS 66604-2287 | 2013-10-23 |
| 1962798298 | Topeka Treatment Center, LLC | Community/Behavioral Health | 3360 Sw Harrison St, Topeka, KS 66611-2492 | 2011-06-24 |
| 1295024255 | Monaco & Associates Inc. | Community/Behavioral Health | 4123 Sw Gage Center Dr Ste 130, Topeka, KS 66604-1886 | 2011-03-30 |
| 1790013241 | Pathway Family Services LLC | Community/Behavioral Health | 4101 Sw Martin Dr, Topeka, KS 66609-1223 | 2009-11-20 |
| 1699213934 | Pershall Psychotherapy, LLC | Community/Behavioral Health | 5040 Sw 28th St, Suite C, Topeka, KS 66614-2302 | 2017-02-07 |
| 1447621651 | Professional Behavioral Health Medicine | Community/Behavioral Health | 3601 Sw 29th St, Suite 124, Topeka, KS 66614-2078 | 2015-10-14 |
| 1821426875 | Jeffrey's Lifestyles | Community/Behavioral Health | 5856 Sw 28th Ter, Topeka, KS 66614-2424 | 2013-10-29 |
| Find all providers in TOPEKA | ||||
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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.