MENTAL HEALTH ASSOCIATION OF SOUTH CENTRAL KANSAS (NPI# 1477004380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477004380 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH ASSOCIATION OF SOUTH CENTRAL KANSAS |
| Practice Address |
555 N Woodlawn St Suite 3105 Wichita KS 67208-3646 |
| Practice Telephone | 3166851821 |
| Practice Fax Number | 3166850768 |
| Mailing Telephone | 3166851821 |
| Mailing Fax Number | 3166850768 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | CAROL MANNING (PRESIDENT/CEO) |
| Authorized Official Telephone | 3166511217 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100229210D | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MENTAL HEALTH ASSOCIATION OF SOUTH CENTRAL KANSAS, THE | 555 N Woodlawn St Ste 3105, Wichita, KS 67208-3673 |
| Street Address |
555 N WOODLAWN ST SUITE 3105 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585495 | Stacey Lynn Rodriguez | Social Worker | 555 N Woodlawn St, Ste 3105, Wichita, KS 67208-3673 | 2005-11-18 |
| 1851816284 | Roberta Rose Schouten | Marriage & Family Therapist | 555 N Woodlawn St, Wichita, KS 67208-3646 | 2017-08-07 |
| 1720458409 | Tahnoqua Rutledge | Social Worker | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2015-10-07 |
| 1144697434 | Valerie Kreger | Marriage & Family Therapist | 555 N Woodlawn St, Suite 102, Wichita, KS 67208-3646 | 2015-08-21 |
| 1295101954 | Miquetta L White | Social Worker | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2015-08-18 |
| 1831572528 | Roxanne Franklin | Social Worker | 555 N Woodlawn St, Suite 102, Wichita, KS 67208-3646 | 2015-06-30 |
| 1669882981 | Shawna Allen | Counselor | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2014-05-08 |
| 1609218544 | Paula L Schaefer | Marriage & Family Therapist | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2013-07-19 |
| 1609117738 | Suzanne R Devaughn | Social Worker | 555 N Woodlawn St, Suite 102, Wichita, KS 67208-3646 | 2013-03-14 |
| 1770882433 | Andrea Holt | Social Worker | 555 N Woodlawn St, 102, Wichita, KS 67208-3646 | 2011-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326519935 | Philip Aaron Plume | Case Manager/Care Coordinator | 5500 E Kellogg Dr Bldg 5, Wichita, KS 67218-1607 | 2018-12-07 |
| 1467954479 | Tonya E Harge | Case Manager/Care Coordinator | 3540 N Inwood St Apt 11201, Wichita, KS 67226-7814 | 2018-03-06 |
| 1215312004 | Amanda Huynh | Case Manager/Care Coordinator | 10114 W Bella Vista Ct, Wichita, KS 67212-7107 | 2015-07-22 |
| 1669880134 | Arayla Cherrell Ross | Case Manager/Care Coordinator | 3223 N. Oliver St., Rainbow United, Inc., Wichita, KS 67220-2106 | 2014-07-29 |
| 1760813208 | Adrien Schulte | Case Manager/Care Coordinator | 2727 N Amidon Ave Apt 404, Wichita, KS 67204-4934 | 2013-12-10 |
| 1932473790 | Kyle Jones | Case Manager/Care Coordinator | 6609 E Murdock St, Wichita, KS 67206-1553 | 2012-02-26 |
| 1710122619 | Breanne Larae Wasinger | Case Manager/Care Coordinator | 1005 W 14th St N, Wichita, KS 67203-2745 | 2008-12-05 |
| 1174772131 | David Leslie Branson | Case Manager/Care Coordinator | 812 W 46th St N, Wichita, KS 67204-2804 | 2008-09-15 |
| 1235387093 | Teddi Lee Mccullough | Case Manager/Care Coordinator | 833 Litchfield St, Wichita, KS 67203-3106 | 2008-09-05 |
| 1235277666 | Joshua's Care LLC | Case Manager/Care Coordinator | 1543 Caddy Ln, Wichita, KS 67212-1235 | 2007-02-01 |
| Find all providers in WICHITA | ||||
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| 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.