Provider Demographics
NPI:1336337021
Name:CLEVENGER, JANET (LCMFT, LMFT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:CLEVENGER
Suffix:
Gender:F
Credentials:LCMFT, LMFT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:CLEVENGER-ALLEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMFT, LMFT
Mailing Address - Street 1:11111 NALL AVE.
Mailing Address - Street 2:SUITE 219
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211
Mailing Address - Country:US
Mailing Address - Phone:913-284-0472
Mailing Address - Fax:913-284-0473
Practice Address - Street 1:11111 NALL AVENUE
Practice Address - Street 2:SUITE 219
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1625
Practice Address - Country:US
Practice Address - Phone:913-284-0472
Practice Address - Fax:913-284-0473
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021022116106H00000X
KS758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS42376019OtherBLUE CROSS BLUE SHIELD