Provider Demographics
NPI:1710614029
Name:SPICER, MONICA SCHMIDT
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:SCHMIDT
Last Name:SPICER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:MAIZE
Mailing Address - State:KS
Mailing Address - Zip Code:67101-9596
Mailing Address - Country:US
Mailing Address - Phone:817-381-9570
Mailing Address - Fax:
Practice Address - Street 1:300 W DOUGLAS AVE STE 625
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2917
Practice Address - Country:US
Practice Address - Phone:817-381-9570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04537101YM0800X
TX89168101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health