Mrs Brenda Kay Lee Stoops, MA, LMHC | |
3751 W Main St, Independence, KS 67301-8446 | |
(620) 331-1748 | |
(620) 332-1940 |
Full Name | Mrs Brenda Kay Lee Stoops |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3751 W Main St, Independence, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124019708 | NPI | - | NPPES |
17515 | Other | IN | PARTNERS HEALTH PLAN |
4431 | Other | IN | IUPM |
200447760B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39001280A (Indiana) | Secondary |
101YP2500X | Counselor - Professional | LCPC2402 (Kansas) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda Kay Lee Stoops, MA, LMHC Po Box 688, Independence, KS 67301-0688 Ph: (620) 331-1748 | Mrs Brenda Kay Lee Stoops, MA, LMHC 3751 W Main St, Independence, KS 67301-8446 Ph: (620) 331-1748 |
Barbara Scofield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Courtlynn Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Mulberry St, Independence, KS 67301 Phone: 620-331-8789 | |
Cyndie Reetz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Richard Francis Failla, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3354 Highway 160, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-332-1940 | |
Barbara Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Michel Starns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 West Main, Independence, KS 67301 Phone: 620-331-1748 |