Provider Demographics
NPI:1437962677
Name:HOUCHIN, JENNA NICHOLE (LMLP-CB)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:NICHOLE
Last Name:HOUCHIN
Suffix:
Gender:F
Credentials:LMLP-CB
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:NICHOLE
Other - Last Name:OSTROSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1730 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4229
Mailing Address - Country:US
Mailing Address - Phone:620-421-3770
Mailing Address - Fax:620-421-3770
Practice Address - Street 1:1730 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4229
Practice Address - Country:US
Practice Address - Phone:620-421-3770
Practice Address - Fax:620-421-3770
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03392103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling