| Grow Healthcare Group Of Kansas Pa | |
|
801 E Douglas Ave Fl 2 Wichita KS 67202-3548 | |
| (316) 974-3161 | |
| Not Available |
| Full Name | Grow Healthcare Group Of Kansas Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 801 E Douglas Ave Fl 2, Wichita, Kansas |
| Authorized Official Name and Position | Jake Cooper (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3478511139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Healthcare Group Of Kansas Pa 801 E Douglas Ave Fl 2 Wichita KS 67202-3548 Ph: (316) 974-3161 | Grow Healthcare Group Of Kansas Pa 801 E Douglas Ave Fl 2 Wichita KS 67202-3548 Ph: (316) 974-3161 |
| NPI Number | 1831848316 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 1355710229 |
|---|---|
| Medicare Enrollment ID | O20221215002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831848316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Renee Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427140045 PECOS PAC ID: 4981601861 Enrollment ID: I20061107000465 |
| Provider Name | Adrienne Erica Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124395884 PECOS PAC ID: 4486973138 Enrollment ID: I20160114002466 |
| Provider Name | Shakea N Roper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780983593 PECOS PAC ID: 3678961570 Enrollment ID: I20211026002180 |
| Provider Name | Tanisha Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093217903 PECOS PAC ID: 5496189920 Enrollment ID: I20220414000380 |
| Provider Name | Chelesia Louise Burkes-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025854 PECOS PAC ID: 7517395387 Enrollment ID: I20230216002478 |
| Provider Name | Ediomi Edet Enebong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356996326 PECOS PAC ID: 5496086001 Enrollment ID: I20230516001126 |
| Provider Name | Chandra Lynn Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245451012 PECOS PAC ID: 9133214257 Enrollment ID: I20230517003233 |
| Provider Name | Samantha Boatwright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578987293 PECOS PAC ID: 8820387897 Enrollment ID: I20230524002722 |
| Provider Name | Teauania Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669778189 PECOS PAC ID: 2466841374 Enrollment ID: I20230711002353 |
| Provider Name | Alyssa A Thaxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043544356 PECOS PAC ID: 1850524232 Enrollment ID: I20230718003892 |
| Provider Name | Nicola Seahorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235484742 PECOS PAC ID: 9537457601 Enrollment ID: I20230905002255 |
| Provider Name | Crystal Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417224239 PECOS PAC ID: 8921268079 Enrollment ID: I20231104000249 |
| Provider Name | Heather Burroughs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891001004 PECOS PAC ID: 0244413631 Enrollment ID: I20231212003058 |
| Provider Name | Sandrine Motokwa Ntsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023710704 PECOS PAC ID: 3678928934 Enrollment ID: I20240122001178 |
| Provider Name | Donald Hupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568654242 PECOS PAC ID: 6507950201 Enrollment ID: I20240131004048 |
| Provider Name | Stephanie Guadalupe Duran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871728592 PECOS PAC ID: 5193163418 Enrollment ID: I20240405001848 |
| Provider Name | Latoya R Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568874477 PECOS PAC ID: 3779921945 Enrollment ID: I20240406000427 |
| Provider Name | Petra Betterton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497464986 PECOS PAC ID: 9537507660 Enrollment ID: I20240409000610 |
| Provider Name | Anselmo Brillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730877259 PECOS PAC ID: 8527406925 Enrollment ID: I20240409000958 |
| Provider Name | Denise Dalgarn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063715928 PECOS PAC ID: 5597103218 Enrollment ID: I20240417002538 |
| Provider Name | Delores K Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861521254 PECOS PAC ID: 4981044765 Enrollment ID: I20240426000762 |
| Provider Name | Rebekah R Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841834058 PECOS PAC ID: 7416398235 Enrollment ID: I20240516002214 |
| Provider Name | Olamiju Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891113932 PECOS PAC ID: 2062630437 Enrollment ID: I20240528001978 |
| Provider Name | Lauren Louise Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275875205 PECOS PAC ID: 3971741828 Enrollment ID: I20240529001394 |
| Provider Name | Kenneth Roper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164180048 PECOS PAC ID: 4789126327 Enrollment ID: I20240611000672 |
| Provider Name | Madelyn Hindia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417725623 PECOS PAC ID: 1557803152 Enrollment ID: I20240611002726 |
| Provider Name | Daniel Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841508694 PECOS PAC ID: 9436695707 Enrollment ID: I20240723001323 |
| Provider Name | Tracye Freeman Valentine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871003814 PECOS PAC ID: 5890231161 Enrollment ID: I20240723001357 |
| Provider Name | Denise Davis-moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699936120 PECOS PAC ID: 7618133349 Enrollment ID: I20240807003987 |
| Provider Name | Cynthia M Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740488873 PECOS PAC ID: 9032656970 Enrollment ID: I20240808004005 |
| Provider Name | Tiffany Morgan Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588305791 PECOS PAC ID: 1052761178 Enrollment ID: I20240817000417 |
| Provider Name | Angie Kay Dewaard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164763413 PECOS PAC ID: 3072959824 Enrollment ID: I20240828001404 |
| Provider Name | Sarah Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194402677 PECOS PAC ID: 6002279064 Enrollment ID: I20240911003371 |
| Provider Name | Anne Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710433032 PECOS PAC ID: 4789115973 Enrollment ID: I20241011001821 |
| Provider Name | Debbie Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750721569 PECOS PAC ID: 4284082686 Enrollment ID: I20241015000440 |
| Provider Name | Tammy Steiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689173536 PECOS PAC ID: 1355873217 Enrollment ID: I20241018002672 |
| Provider Name | Sheena Munsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629222062 PECOS PAC ID: 6800100645 Enrollment ID: I20241112003481 |
| Provider Name | Adrian Barclay Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669718680 PECOS PAC ID: 9234663048 Enrollment ID: I20241114004370 |
| Provider Name | Stacy Braiuca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700096831 PECOS PAC ID: 1850514308 Enrollment ID: I20241202000279 |
Wichita State University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Fairmount Box 91, Wichita, KS 67260 Phone: 502-821-7904 | |
Inspire Counseling And Support Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Main St, Wichita, KS 67203 Phone: 316-202-7051 Fax: 833-213-7988 | |
Wichita Ocd Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N Exposition St, Wichita, KS 67203 Phone: 316-854-3520 | |
Manatee Care P.a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4925 S Broadway Ave Unit 8181, Wichita, KS 67216 Phone: 213-558-4348 | |
Counseling & Mediation Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Douglas Ave Ste 560, Wichita, KS 67202 Phone: 316-269-2322 Fax: 316-269-2448 | |
Family Consultation Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N. Exposition, Wichita, KS 67203 Phone: 316-264-8317 Fax: 316-264-0347 |