Provider Demographics
NPI:1821423351
Name:CROY, NATHAN D (MAMFT, LCMFT)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:D
Last Name:CROY
Suffix:
Gender:M
Credentials:MAMFT, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 SHAWNEE MISSION PKWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66202-4031
Mailing Address - Country:US
Mailing Address - Phone:913-730-6389
Mailing Address - Fax:913-397-6487
Practice Address - Street 1:6811 SHAWNEE MISSION PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66202-4031
Practice Address - Country:US
Practice Address - Phone:913-730-6389
Practice Address - Fax:913-397-6487
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201142850AMedicaid