| Nicole Medaris, LPC | |
|
1408 Poyntz Ave, Manhattan, KS 66502-4145 | |
| (785) 776-4105 | |
| (785) 537-2299 |
| Full Name | Nicole Medaris |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1408 Poyntz Ave, Manhattan, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487110722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3352 (Kansas) | Primary |
| Entity Name | Cornerstone Family Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821253469 PECOS PAC ID: 0547484917 Enrollment ID: O20140605001324 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Medaris, LPC 1408 Poyntz Ave, Manhattan, KS 66502-4145 Ph: (785) 776-4105 | Nicole Medaris, LPC 1408 Poyntz Ave, Manhattan, KS 66502-4145 Ph: (785) 776-4105 |
Olivia Noelle Meyer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 Poyntz Ave, Manhattan, KS 66502 Phone: 785-776-4105 Fax: 785-537-2299 | |
Brett Bruning, LMFT, LAC Counselor Medicare: Medicare Enrolled Practice Location: 1558 Hayes Dr, Manhattan, KS 66502 Phone: 785-587-4315 Fax: 785-587-4339 | |
Pilar Quinones, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1558 Hayes Dr, Manhattan, KS 66502 Phone: 785-587-4300 Fax: 785-587-4377 | |
Mallory Ann Shuler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1133 College Ave Ste G210, Manhattan, KS 66502 Phone: 785-537-9030 | |
Emily Moore, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 2001 Claflin Rd, Manhattan, KS 66502 Phone: 785-587-4300 | |
Robert Wisdom, LMLP, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1558 Hayes Dr, Manhattan, KS 66502 Phone: 785-587-4315 Fax: 785-587-4339 | |
Callie Lynea Hansen, MS, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Anderson Ave, Manhattan, KS 66503 Phone: 785-539-5455 |