SOUTHWEST GUIDANCE CENTER


Address: 333 W 15th St, Liberal, KS 67901-2455
Phone: 6206248171

SOUTHWEST GUIDANCE CENTER (NPI# 1154421097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154421097
Entity Type Organization
Organization Name SOUTHWEST GUIDANCE CENTER
Practice Address 333 W 15th St
Liberal
KS 67901-2455
Mailing Address Po Box 2945
Liberal
KS 67905-2945
Practice Telephone 6206248171
Practice Fax Number 6206240114
Mailing Telephone 6206248171
Mailing Fax Number 6206240114
Enumeration Date 2006-09-22
Last Update Date 2020-08-22
Authorized Official Name MR. JAMES J KARLAN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6206248171
Authorized Official Credential LCP,LMLP,CBHE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801991203 Southwest Guidance Center Clinic/Center 333 W 15th St, Liberal, KS 67901-2455 2006-09-13

Office Location

Street Address 333 W 15TH ST
City LIBERAL
State KS
Zip Code 67901-2455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801991203 Southwest Guidance Center Clinic/Center 333 W 15th St, Liberal, KS 67901-2455 2006-09-13
1215570965 Chelsey Leclear Psychologist 333 W 15th St, Liberal, KS 67901-2455 2019-10-25
1326690496 Jennifer Helker Nurse Practitioner 333 W 15th St, Liberal, KS 67901-2455 2019-07-09
1417423419 Keitha Eva Peters Psychologist 333 W 15th St, Liberal, KS 67901-2455 2018-10-17
1821448192 Rachel M. Swenson Social Worker 333 W 15th St, Liberal, KS 67901-2455 2016-06-17
1821308693 Mary E Deboard Counselor 333 W 15th St, Liberal, KS 67901-2455 2010-10-14
1841505393 Amy R Martin Counselor 333 W 15th St, Liberal, KS 67901-2455 2010-08-09
1194853762 Sarah M. Mersdorf-foreman Counselor 333 W 15th St, Liberal, KS 67901-2455 2007-03-02
1295828986 Eva G Delay Psychologist 333 W 15th St, Liberal, KS 67901-2455 2006-10-02
1134212897 Julie W Sallee Psychologist 333 W 15th St, Liberal, KS 67901-2455 2006-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104264803 Juanita Elise Monroe Registered Nurse 515 4th St, Liberal, KS 67901 2013-06-05
1588917454 Liberal Diagnostics, LLC Clinic/Center 23 Professional Drive, Liberal, KS 67901 2012-10-17
1598091001 Sunflower Pediatrics Pediatrics 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 2009-10-19
1477780955 Southwest Medical Center Clinic/Center 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 2009-06-11
1336375104 Nchang Mantoh Azefor Surgery 305 W 15th St Ste 204, Liberal, KS 67901 2009-06-06
1114152121 Firas I. Kawtharani Orthopaedic Surgery 305 W 15th St Ste 101, Liberal, KS 67901 2009-05-19
1871613067 William (bill) Joseph Michael Settle Anesthesiology 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 2007-03-30
1851430532 Bruce W Jackson Dentist 111 Lilac Dr, Liberal, KS 67901 2007-02-06
1376637058 Dr. Peter Lee D.o. Clinic/Center 23 East 11th, Liberal, KS 67901 2006-10-03
1568574002 Terry Dee Romans Dentist 2110 N Grant, Liberal, KS 67901 2006-08-31
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962789214 Freedom House Ministries Residential Treatment Facility, Emotionally Disturbed Children 7044 Antioch Rd, Merriam, KS 66204-1246 2011-11-14
1104042290 Kelley Detention Services of Wakeeney, Inc. Residential Treatment Facility, Emotionally Disturbed Children 675 South 13th Street, Wakeeney, KS 67672 2007-04-17
1669698759 Clarence M. Kelley Detention Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 6700 Southwest Topeka Boulevard, Building 379, Forbes Field, Topeka, KS 66214 2007-04-17
1457576381 Clarence M. Kelley Detention Services of Topeka, LLC Residential Treatment Facility, Emotionally Disturbed Children 2620 Se 23rd St, Topeka, KS 66605-1747 2007-04-16
1548316615 The Salvation Army Residential Treatment Facility, Emotionally Disturbed Children 350 N Market St, Wichita, KS 67202-2010 2007-01-25
1750361119 Marillac Center, Inc. Residential Treatment Facility, Emotionally Disturbed Children 8000 W 127th St, Overland Park, KS 66213-2714 2006-01-20
1932441177 Riverside Academy Residential Treatment Facility, Emotionally Disturbed Children 2050 W 11th St N, Wichita, KS 67203-3006 2013-03-26
1871778217 Richard Alspaw Residential Treatment Facility, Emotionally Disturbed Children 24401 W Macarthur Rd, Goddard, KS 67052-8713 2008-01-03
1184764151 Kvc Hospitals Inc Residential Treatment Facility, Emotionally Disturbed Children 4300 Brenner Dr, Kansas City, KS 66104-1163 2007-02-07
1235210196 Area Mental Health Center Residential Treatment Facility, Emotionally Disturbed Children 1111 E Spruce St, Garden City, KS 67846-5958 2006-10-18
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Competitor

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City LIBERAL
Zip Code 67901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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