Healthcare Provider Details

I. General information

NPI: 1043859234
Provider Name (Legal Business Name): BEYOND THE REEF PSYCHOTHERAPY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2020
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 1ST TER STE 220F
LANSING KS
66043-1715
US

IV. Provider business mailing address

18162 STILLWELL RD
LINWOOD KS
66052-4547
US

V. Phone/Fax

Practice location:
  • Phone: 913-717-9906
  • Fax: 310-507-0157
Mailing address:
  • Phone: 619-517-5055
  • Fax: 310-507-0157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SUSAN M. SCHLAG
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: MS, LCMFT
Phone: 619-517-5055