MR. ELTON MICHAEL PRIDDY LCPC NPI 1366587016

NPI Information

NPI: 1366587016
Provider Name: MR. ELTON MICHAEL PRIDDY, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12400 W 62ND TER
SUITE G
SHAWNEE, KS
ZIP 66216
Phone: (913) 449-3696
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MR. Elton Michael Priddy, LCPC is a professional counselor in Shawnee, KS. MR. Elton Michael Priddy, LCPC NPI is 1366587016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12400 W 62ND TER
SUITE G
SHAWNEE, KS
ZIP 66216-833
Phone: (913) 449-3696
Fax: (913) 548-4816

The enumeration date for this NPI number is 2/20/2007 and was last updated on 4/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2002008095	MISSOURI	No
2	101YP2500X	Counselor	Professional	229	KANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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