Provider Demographics
NPI:1578529301
Name:FIRSTSTEP COUNSELING, INC.
Entity Type:Organization
Organization Name:FIRSTSTEP COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAAG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS, LCMFT
Authorized Official - Phone:316-262-5253
Mailing Address - Street 1:345 RIVERVIEW ST
Mailing Address - Street 2:SUITE LL2
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4200
Mailing Address - Country:US
Mailing Address - Phone:316-262-5253
Mailing Address - Fax:316-262-7202
Practice Address - Street 1:345 RIVERVIEW ST
Practice Address - Street 2:SUITE LL2
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-4200
Practice Address - Country:US
Practice Address - Phone:316-262-5253
Practice Address - Fax:316-262-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS104100000X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS180524OtherBLUE CROSS BLUE SHIELD
KS=========OtherTRIWEST HEALTHCARE ALLIAN
KS180524OtherBLUE CROSS BLUE SHIELD