| Colleen Marie Innis, LPC | |
| 
					1601 E 18th St Ste 224, Kansas City, MO 64108-1754  | |
| (816) 548-7585 | |
| (844) 471-7844 | 
| Full Name | Colleen Marie Innis | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 1601 E 18th St Ste 224, Kansas City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437661485 | NPI | - | NPPES | 
| 2017035037 | Other | MO | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary | 
| Entity Name | Deer Oaks Mental Health Associates Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20040813000106  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Colleen Marie Innis, LPC 1601 E 18th St Ste 224, Kansas City, MO 64108-1754 Ph: (816) 838-9665  | Colleen Marie Innis, LPC 1601 E 18th St Ste 224, Kansas City, MO 64108-1754 Ph: (816) 548-7585  | 
Mrs. Kerry Sue Christifano, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9237 Ward Pkwy Ste 105, Kansas City, MO 64114 Phone: 816-523-2200  | |
Jodie Lynn Rosendal, PLPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 5545 N Oak Trfy, Kansas City, MO 64118 Phone: 816-500-1355  | |
Dhruti Umang Shah,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3211 Woodland Ave, Kansas City, MO 64109 Phone: 816-966-0900  | |
Cowartiz Merkerson,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 8150 Wornall Rd, Kansas City, MO 64114 Phone: 816-508-3500 Fax: 816-508-3535  | |
Dr. Linda Sterling, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 E 18th St Ste 203, Kansas City, MO 64108 Phone: 816-455-9433  | |
Mrs. Candis M Boily, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 83rd St Ste 218, Kansas City, MO 64119 Phone: 816-468-0400  | |
Vanidee Stollenwerk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7509 Nw Tiffany Springs Pkwy Ste 320, Kansas City, MO 64153 Phone: 816-500-1355 Fax: 816-569-6797  |