MRS. JENNIFER RACHEL OTIS (NPI# 1689227654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689227654 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER RACHEL OTIS |
| Credential | LMSW |
| Practice Address |
6611 E Central Ave Ste C Wichita KS 67206-1937 |
| Mailing Address |
2138 S White Oak Cir Wichita KS 67207-5253 |
| Practice Telephone | 3166891353 |
| Mailing Telephone | 3166891353 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 9965 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517978 | Jennifer Lynn Otis | Physician Assistant | 3741 Rutledge Rd Ne, Albuquerque, NM 87109-5566 | 2020-10-29 |
| Street Address |
6611 E CENTRAL AVE STE C |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023191004 | Leelin Tayag Harrington | Social Worker | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2006-10-23 |
| 1174121826 | Caleb Moise Rivera | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2020-10-14 |
| 1033726336 | Brennen Smith | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2020-09-30 |
| 1700434818 | Abigail K Shinkle | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2019-09-01 |
| 1346898442 | Amanda Michele Colliatie | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2019-09-01 |
| 1093298028 | Carly Wills | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206 | 2018-09-14 |
| 1225409204 | Behavioral Health, Inc | Counselor | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2015-10-15 |
| 1750726576 | Brooke Tamara Miller | Social Worker | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313983 | Mary Carol Ward | Social Worker | 333 E English St, Wichita, KS 67202-4320 | 2020-10-13 |
| 1992318729 | Meaghan Ann Mackey | Social Worker | 3725 W Angel St, Wichita, KS 67217-7029 | 2020-08-31 |
| 1184248619 | Shawn M Dixon | Social Worker | 322 S Laura Ave, Wichita, KS 67211-1517 | 2020-06-01 |
| 1609425735 | Davon J Anderson | Social Worker | 2549 S Lori St, Wichita, KS 67210-1914 | 2019-09-11 |
| 1750844163 | Rachel Lynn Thomas | Social Worker | 5414 S Market St, Wichita, KS 67216-4901 | 2019-04-11 |
| 1972064418 | Lisa Marie Harrison | Social Worker | 2922 N Spring Meadow Ct, Wichita, KS 67205-1659 | 2019-03-27 |
| 1366910838 | Taryn Jewell Zweygardt | Social Worker | 315 N Hillside St Ste E, Wichita, KS 67214-4915 | 2018-11-02 |
| 1316433972 | Christine Michelle Wagner | Social Worker | 807 N Waco Ave Ste 11, Wichita, KS 67203-3971 | 2018-07-07 |
| 1073021960 | Lisa Michelle Smith | Social Worker | 1501 N Lynnhurst Ave, Wichita, KS 67212-1846 | 2018-01-13 |
| 1770095937 | Rossilyn D Banks | Social Worker | 2305 N Somerset St Apt 201, Wichita, KS 67204-5747 | 2017-10-27 |
| 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.