Basic Information
| Provider Information | |||||||||
| NPI: | 1730757972 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOTHERN | ||||||||
| FirstName: | ARIEL | ||||||||
| MiddleName: | LAUREN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 735 CLIFF DR | ||||||||
| Address2: | |||||||||
| City: | AUGUSTA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 670101338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7858200583 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6331 W 110TH ST | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662111509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136961911 | ||||||||
| FaxNumber: | 9136961619 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2021 | ||||||||
| LastUpdateDate: | 06/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | LPC03814 | KS | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.