Healthcare Provider Details

I. General information

NPI: 1053226134
Provider Name (Legal Business Name): ASHLEE ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 W 160TH ST STE 100
OVERLAND PARK KS
66085-8100
US

IV. Provider business mailing address

1013 COLONIAL CIR
LAWRENCE KS
66049-3787
US

V. Phone/Fax

Practice location:
  • Phone: 913-404-5232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: