Provider Demographics
NPI:1396185625
Name:PISH, AARON MATTHEW (LMSW, LMAC)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:MATTHEW
Last Name:PISH
Suffix:
Gender:M
Credentials:LMSW, LMAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 S KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3616
Mailing Address - Country:US
Mailing Address - Phone:785-409-6492
Mailing Address - Fax:
Practice Address - Street 1:1200 GRAPHIC ARTS RD STE 100
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-6204
Practice Address - Country:US
Practice Address - Phone:620-208-6485
Practice Address - Fax:620-364-2551
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8400104100000X
KS301101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker