MEDICARE: ITZEL ANAHI CARRANZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1881525426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ITZEL ANAHI CARRANZA

Provider Business Mailing Address
First Line	:	21719 FRANKLIN ST
Second Line	:
City	:	SPRING HILL
State	:	KS
Zip	:	66083-8750
Country	:	US
Telephone Number	:	913-205-1792
Fax Number	:

Provider Business Practice Location Address
First Line	:	21719 FRANKLIN ST
Second Line	:
City	:	SPRING HILL
State	:	KS
Zip	:	66083-8750
Country	:	US
Telephone Number	:	913-205-1792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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