Mr John Marcus Blakeslee, LCMFT, MS | |
5815 Broadway Ave, Great Bend, KS 67530-3123 | |
(620) 792-2544 | |
(620) 792-7052 |
Full Name | Mr John Marcus Blakeslee |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 5815 Broadway Ave, Great Bend, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326260795 | NPI | - | NPPES |
1700904513 | Other | KS | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LCMFT 224 (Kansas) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAC 007 (Kansas) | Secondary |
Entity Name | Heart Of Kansas Family Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184739443 PECOS PAC ID: 4486565181 Enrollment ID: O20040228000455 |
Mailing Address | Practice Location Address |
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Mr John Marcus Blakeslee, LCMFT, MS 5815 Broadway Ave, Great Bend, KS 67530-3123 Ph: (620) 792-2544 | Mr John Marcus Blakeslee, LCMFT, MS 5815 Broadway Ave, Great Bend, KS 67530-3123 Ph: (620) 792-2544 |
Mrs. Jennifer L Hosman, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 155 Se 1 Ave, Great Bend, KS 67530 Phone: 620-792-5173 | |
Ms. Gina Marie Helsel, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5815 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 | |
Amber Dawn Smith, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5815 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 | |
Ms. Melissa Leigh Ewing, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 916 Williams, Great Bend, KS 67530 Phone: 620-786-0687 Fax: 620-793-7370 | |
Ms. Julie A Zeck, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5815 Broadway, The Center For Counseling, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-4323 | |
Mrs. Linda Sue Stanley, LMFT, AAPS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1508 Main St, Great Bend, KS 67530 Phone: 620-757-8224 Fax: 620-793-7370 |