Provider Demographics
NPI:1306925821
Name:WINDEN-DONNELLY, MARY CATHERINE (LCPC, LCMFT)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CATHERINE
Last Name:WINDEN-DONNELLY
Suffix:
Gender:F
Credentials:LCPC, LCMFT
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:CATHERINE
Other - Last Name:WINDEN-DONNELLY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC, LCMFT
Mailing Address - Street 1:8014 STATE LINE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3710
Mailing Address - Country:US
Mailing Address - Phone:913-381-2000
Mailing Address - Fax:913-381-2051
Practice Address - Street 1:8014 STATE LINE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3710
Practice Address - Country:US
Practice Address - Phone:913-381-2000
Practice Address - Fax:913-381-2051
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
KS145101YP2500X
KS175106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO35583016OtherBLUE CROSS/BLUE SHIELD KC