Provider Demographics
NPI:1326214412
Name:NACHTIGAL, STEVE SHAWN (LCPC, BCPCC)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:SHAWN
Last Name:NACHTIGAL
Suffix:
Gender:M
Credentials:LCPC, BCPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 W 1ST AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-5238
Mailing Address - Country:US
Mailing Address - Phone:620-663-5488
Mailing Address - Fax:620-663-5488
Practice Address - Street 1:421 W 1ST AVE
Practice Address - Street 2:SUITE D
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-5238
Practice Address - Country:US
Practice Address - Phone:620-663-5488
Practice Address - Fax:620-663-5488
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200253000AMedicaid