Provider Demographics
NPI:1487904579
Name:SCHWARTZ, KATHERINE ELEANOR (LCPC)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ELEANOR
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELEANOR
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 545
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66505-0545
Mailing Address - Country:US
Mailing Address - Phone:785-789-3774
Mailing Address - Fax:785-789-3775
Practice Address - Street 1:323 POYNTZ AVENUE, STE 203
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502
Practice Address - Country:US
Practice Address - Phone:785-789-3774
Practice Address - Fax:785-789-3775
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-15
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008512101YM0800X, 101YP2500X, 101YM0800X
KS2558101YM0800X
IL178.008416101YP2500X
AZ18903101YP2500X
MO2020034492101YP2500X
09-061221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist