Provider Demographics
NPI:1205401395
Name:BARRETT, ASHLEY JEANNE (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JEANNE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JEANNE
Other - Last Name:BOESHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3743 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1912
Mailing Address - Country:US
Mailing Address - Phone:816-533-5408
Mailing Address - Fax:
Practice Address - Street 1:3743 MAIN ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1912
Practice Address - Country:US
Practice Address - Phone:816-533-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021001600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty