Provider Demographics
NPI:1467678722
Name:MEEKER, CYNTHIA HOUTMAN (PHD LCPC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:HOUTMAN
Last Name:MEEKER
Suffix:
Gender:F
Credentials:PHD LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 CONSER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2827
Mailing Address - Country:US
Mailing Address - Phone:913-381-1048
Mailing Address - Fax:913-381-1527
Practice Address - Street 1:7800 CONSER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2827
Practice Address - Country:US
Practice Address - Phone:913-381-1048
Practice Address - Fax:913-381-1527
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCPC230101Y00000X
101YM0800X, 106H00000X
MOLPC000567101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
16877OtherBLUE CROSS BLUE SHIELD