| Mental Health America Of South Central Kansas, Inc. | |
|
555 N Woodlawn St Suite 3105 Wichita KS 67208-3645 | |
| (316) 685-1821 | |
| (316) 685-0768 |
| Full Name | Mental Health America Of South Central Kansas, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 555 N Woodlawn St, Wichita, Kansas |
| Authorized Official Name and Position | Chloe Couch (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3166851821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health America Of South Central Kansas, Inc. 555 N Woodlawn St Suite 3105 Wichita KS 67208-3646 Ph: (316) 685-1821 | Mental Health America Of South Central Kansas, Inc. 555 N Woodlawn St Suite 3105 Wichita KS 67208-3645 Ph: (316) 685-1821 |
| NPI Number | 1689710568 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 1153400197 |
|---|---|
| Medicare Enrollment ID | O20110407000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689710568 | NPI | - | NPPES |
| KA2143 | Other | KS | MEDICARE PTAN |
| 30003924420010 | Medicaid | KS | |
| 30003924420001 | Medicaid | KS | |
| 30003924420003 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Heidi E Ogden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952334765 PECOS PAC ID: 0446246268 Enrollment ID: I20040426000239 |
| Provider Name | Stacey Lynn Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972585495 PECOS PAC ID: 4880678713 Enrollment ID: I20040617000006 |
| Provider Name | Garry L Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114921699 PECOS PAC ID: 8628040201 Enrollment ID: I20050223000737 |
| Provider Name | Rosa Elaine Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194773978 PECOS PAC ID: 5597705012 Enrollment ID: I20050504000635 |
| Provider Name | Tamara K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699723064 PECOS PAC ID: 7911941083 Enrollment ID: I20050620000508 |
| Provider Name | Beverly A Goering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699003186 PECOS PAC ID: 3173792439 Enrollment ID: I20110803000582 |
| Provider Name | Angela I Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811158116 PECOS PAC ID: 6305069832 Enrollment ID: I20140602000312 |
| Provider Name | Gloria Hegge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073004941 PECOS PAC ID: 7719232842 Enrollment ID: I20180613003174 |
| Provider Name | Cynthia May Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629531322 PECOS PAC ID: 9032515952 Enrollment ID: I20210901001136 |
| Provider Name | Justin A Soriano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255992673 PECOS PAC ID: 2365891199 Enrollment ID: I20231205003625 |
| Provider Name | Jeremy Burden |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467736009 PECOS PAC ID: 6901249374 Enrollment ID: I20240213002703 |
| Provider Name | Sharon Laudick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477944619 PECOS PAC ID: 5496098121 Enrollment ID: I20240304003339 |
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: Medicare Enrolled 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 | |
Adapt, Grip & Stephenie Roberts, Lscsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9505 W. Central, Ste. 103, Wichita, KS 67212 Phone: 316-721-0971 Fax: 316-512-4070 | |
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 |