Provider Demographics
NPI:1639066566
Name:CRIDER, MARY MARGARET (LPC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:CRIDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N CHERRY ST STE 240
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-3473
Mailing Address - Country:US
Mailing Address - Phone:913-353-5853
Mailing Address - Fax:
Practice Address - Street 1:110 N CHERRY ST STE 240
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3473
Practice Address - Country:US
Practice Address - Phone:913-353-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC05055101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health