ADOLESCENT SPECIALISTS OF KANSAS, INC. (NPI# 1861585473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861585473 |
| Entity Type | Organization |
| Organization Name | ADOLESCENT SPECIALISTS OF KANSAS, INC. |
| Practice Address |
650 North Carriage Parkway Suite 135 Wichita KS 67208-4514 |
| Practice Telephone | 3166854700 |
| Practice Fax Number | 3166858247 |
| Mailing Telephone | 3166854700 |
| Mailing Fax Number | 3166858247 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANNE M DOLAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 3166854700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
619 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS PROVIDER NUMBER | 116080 | 01 |
| Street Address |
650 NORTH CARRIAGE PARKWAY SUITE 135 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-4514 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194989 | Matthew Rathbun | Counselor | 551 S Holland Ln, Wichita, KS 67209-2007 | 2020-04-28 |
| 1275168064 | Katherine Fibert | Counselor | 9019 W 10th St N # W10th, Wichita, KS 67212-4020 | 2020-03-12 |
| 1275011462 | Tag Treatment Center LLC | Counselor | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 | 2018-07-31 |
| 1538675137 | Karmeleta Burnett | Counselor | 2201 E 13th St N Ste E, Wichita, KS 67214-1903 | 2017-12-18 |
| 1477072627 | H. Wayne Simpson | Counselor | 3835 W Douglas Ave, Wichita, KS 67213-2408 | 2017-09-19 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1548709520 | Lorna Rae Stoecklein | Counselor | 1337 N Meridian Ave Ste 5, Wichita, KS 67203-4641 | 2017-02-23 |
| 1871037481 | Chelsea Ajuka Anukam | Counselor | 801 E Douglas Ave Fl 2, Wichita, KS 67202-3548 | 2016-12-15 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 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.