JOHN BUCKLEY (NPI# 1992121255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992121255 |
| Entity Type | Individual |
| Full Name | JOHN BUCKLEY |
| Credential | LAC |
| Practice Address |
3540 W Douglas Ave Wichita KS 67203-5455 |
| Mailing Address |
900 E Laharpe St Kirksville MO 63501-4520 |
| Practice Telephone | 3169432051 |
| Practice Fax Number | 3169432192 |
| Mailing Telephone | 6606651962 |
| Mailing Fax Number | 6606653989 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
650 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| 1740408046 | John Edwin Buckley | Hearing Instrument Specialist | 1 Woodbridge Ctr Ste 211, Woodbridge, NJ 07095-1159 | 2007-04-23 |
| 1912060179 | John William Buckley Jr. | Psychiatry & Neurology | 5220 Long Green Rd, Glen Arm, MD 21057-9716 | 2006-12-19 |
| 1073673950 | John Matthew Buckley | Registered Nurse | 735 19th Ave, Lake Como, NJ 07719-2902 | 2006-12-11 |
| 1205942745 | John Edward Buckley | Internal Medicine | 51 West 84th Ave, Suite 210, Denver, CO 80260-4882 | 2006-08-21 |
| 1114918133 | John Joseph Buckley Jr. | Specialist | 935 Trailwood Dr, Boardman, OH 44512-5062 | 2005-10-31 |
| 1578006540 | John J Buckley | Physician Assistant | 123 Summer St, 7350, Worcester, MA 01608-1216 | 2016-11-23 |
| 1275882177 | John Buckley | Social Worker | 3355 Bee Cave Rd, Suite 507, West Lake Hills, TX 78746-6775 | 2012-09-06 |
| 1841320645 | John J Buckley | Counselor | 600 Spring Hill Ring Rd, Suite 108, West Dundee, IL 60118-7300 | 2007-03-07 |
| 1497804017 | John D Buckley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2007-01-10 |
| Street Address |
3540 W DOUGLAS AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-5455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659502375 | Debra M Kraai | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2009-07-29 |
| 1598183048 | Krista Casmaer | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2014-04-02 |
| 1740542729 | Carla J Phipps | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2012-06-14 |
| 1699037671 | Chad E Jacobs | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2012-06-14 |
| 1215296587 | Heath W Bechler | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2012-05-08 |
| 1821379603 | Randolph J Paxson | Social Worker | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194989 | Matthew Rathbun | Counselor | 551 S Holland Ln, Wichita, KS 67209-2007 | 2020-04-28 |
| 1275168064 | Katherine Fibert | Counselor | 9019 W 10th St N # W10th, Wichita, KS 67212-4020 | 2020-03-12 |
| 1275011462 | Tag Treatment Center LLC | Counselor | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 | 2018-07-31 |
| 1538675137 | Karmeleta Burnett | Counselor | 2201 E 13th St N Ste E, Wichita, KS 67214-1903 | 2017-12-18 |
| 1477072627 | H. Wayne Simpson | Counselor | 3835 W Douglas Ave, Wichita, KS 67213-2408 | 2017-09-19 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1548709520 | Lorna Rae Stoecklein | Counselor | 1337 N Meridian Ave Ste 5, Wichita, KS 67203-4641 | 2017-02-23 |
| 1871037481 | Chelsea Ajuka Anukam | Counselor | 801 E Douglas Ave Fl 2, Wichita, KS 67202-3548 | 2016-12-15 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on JOHN BUCKLEY.
| 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.