Provider Demographics
NPI:1427268432
Name:SIEVE, JESSE JOSEPH (LCMFT)
Entity type:Individual
Prefix:MR
First Name:JESSE
Middle Name:JOSEPH
Last Name:SIEVE
Suffix:
Gender:M
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12461 S CRESTONE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6634
Mailing Address - Country:US
Mailing Address - Phone:913-271-6898
Mailing Address - Fax:
Practice Address - Street 1:2901 ROCK CREEK PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117
Practice Address - Country:US
Practice Address - Phone:816-201-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS106H00000X106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098080CMedicaid
KS100098080 AMedicaid