ELIZABETH LAYTON CENTER, INC. (NPI# 1649296757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649296757 |
| Entity Type | Organization |
| Organization Name | ELIZABETH LAYTON CENTER, INC. |
| Other Organization Name | FRANKLIN COUNTY MENTAL HEALTH CLINIC, INC. |
| Practice Address |
2537 Eisenhower Rd Ottawa KS 66067-9482 |
| Mailing Address |
2537 Eisenhower Rd Po Box 677 Ottawa KS 66067-9482 |
| Practice Telephone | 7852423780 |
| Practice Fax Number | 7852426397 |
| Mailing Telephone | 7852423780 |
| Mailing Fax Number | 7852426397 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-08-17 |
| Authorized Official Name | LESLIE BJORK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7852423780 |
| Authorized Official Credential | PSYD, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
008 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100097990A | 05 |
| Other Name | Type Code |
|---|---|
| Franklin County Mental Health Clinic, Inc. | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELIZABETH LAYTON CENTER, INC. | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 |
| Street Address |
2537 EISENHOWER RD |
| City | OTTAWA |
| State | KS |
| Zip Code | 66067-9482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133032 | Gretchen L Trendel | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2005-09-08 |
| 1093314338 | Rebecca Herrig | Counselor | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2020-10-19 |
| 1609418763 | Sospeter Otieno | Clinical Nurse Specialist | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2019-10-10 |
| 1467018721 | Marie E Schulte | Counselor | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2019-05-13 |
| 1427512177 | Lorene Martins | Counselor | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2019-01-28 |
| 1487149522 | Jade M Brake | Counselor | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2018-06-29 |
| 1285128603 | Abbey Marie Hope | Counselor | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2018-06-19 |
| 1548768880 | Diamone D Sipe | Counselor | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2018-01-31 |
| 1447770284 | Holly Smith | Marriage & Family Therapist | 2537 Eisenhower Rd, Ottawa, KS 66067 | 2017-06-22 |
| 1154879120 | Samantha Cervetti | Social Worker | 2537 Eisenhower Rd, Ottawa, KS 66067-9482 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482870 | Katie Jean Turpin | Occupational Therapist | 3901 S Main St, Ottawa, KS 66067 | 2020-03-18 |
| 1619526464 | Jennifer Raybern | Specialist/Technologist | 1001 S Cedar St, Ottawa, KS 66067 | 2019-09-04 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1619185188 | Vintage Park At Ottawa LLC | Assisted Living Facility | 2250 S Elm St, Ottawa, KS 66067 | 2007-05-18 |
| 1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
| 1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
| 1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
| 1700847043 | T.a. Rainbolt, Dds, P.a. | Dentist | 1334 S. Main Street, Ottawa, KS 66067 | 2006-03-28 |
| 1659341634 | Milton Laverne Sampson | Nurse Anesthetist, Certified Registered | 1301 S Main, Ottawa, KS 66067 | 2006-01-24 |
| Find all providers in zip 66067 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1417078395 | North Central Behavioral Health Systems, Inc.. | Clinic/Center | 617-619 4th Avenue, Ottawa, IL 61350-4015 | 2007-04-02 |
| 1134249550 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 Etna Rd., Ottawa, IL 61350 | 2007-03-30 |
| 1073633418 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2007-03-30 |
| 1407976194 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 228 State St, Ottawa, IL 61350-3573 | 2007-03-29 |
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| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
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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.