Healthcare Provider Details

I. General information

NPI: 1881525376
Provider Name (Legal Business Name): THOMAS CHERIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 JOHNSON DR STE D
ROELAND PARK KS
66205-2904
US

IV. Provider business mailing address

14195 W 138TH CT
OLATHE KS
66062-5087
US

V. Phone/Fax

Practice location:
  • Phone: 913-709-2416
  • Fax:
Mailing address:
  • Phone: 913-709-2416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number04536
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: