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1000 Lincoln St Emporia KS 66801-2449 | |
| (620) 343-2211 | |
| (620) 342-1021 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1000 Lincoln St, Emporia, Kansas |
| Authorized Official Name and Position | Courtney Cates (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Contact | 6203432211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1000 Lincoln St Emporia KS 66801-2449 Ph: (620) 343-2211 | 1000 Lincoln St Emporia KS 66801-2449 Ph: (620) 343-2211 |
| NPI Number | 1740365758 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 2163498122 |
|---|---|
| Medicare Enrollment ID | O20040909001326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740365758 | NPI | - | NPPES |
| 100098020A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 015 (Kansas) | Primary |
| Provider Name | Jean M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285695627 PECOS PAC ID: 5294718367 Enrollment ID: I20040610000052 |
| Provider Name | Mari M Mahinay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417918442 PECOS PAC ID: 6002858875 Enrollment ID: I20050523001120 |
| Provider Name | Terry A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285682252 PECOS PAC ID: 9830268879 Enrollment ID: I20080516000715 |
| Provider Name | Dilip M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578688487 PECOS PAC ID: 3577637461 Enrollment ID: I20080812000088 |
| Provider Name | Kathy A Slimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720224314 PECOS PAC ID: 4587711197 Enrollment ID: I20090420000216 |
| Provider Name | Brian L Muench |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982753562 PECOS PAC ID: 1557417409 Enrollment ID: I20090918000293 |
| Provider Name | Kurt V Haberkorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912057993 PECOS PAC ID: 4385816339 Enrollment ID: I20111017000444 |
| Provider Name | Lindsay M Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150090 PECOS PAC ID: 0840415501 Enrollment ID: I20150610000766 |
| Provider Name | Hsiangfeng Tsai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164806634 PECOS PAC ID: 6103132253 Enrollment ID: I20150903001330 |
| Provider Name | Taryn M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295101988 PECOS PAC ID: 5193034825 Enrollment ID: I20151021000434 |
| Provider Name | Inderjeet Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861815607 PECOS PAC ID: 5890928402 Enrollment ID: I20160210001678 |
| Provider Name | Anthony D Minja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225495807 PECOS PAC ID: 5597064360 Enrollment ID: I20160428001610 |
| Provider Name | Arthalia Shantanese Weekes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295166114 PECOS PAC ID: 4880931203 Enrollment ID: I20190123003044 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20190228002527 |
| Provider Name | Jena L Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457879850 PECOS PAC ID: 7911236542 Enrollment ID: I20190907000219 |
| Provider Name | Christopher J Zalewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477945681 PECOS PAC ID: 7618280132 Enrollment ID: I20200603001105 |
| Provider Name | Shahbaz M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962591313 PECOS PAC ID: 5193809218 Enrollment ID: I20200730001014 |
| Provider Name | Paula A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295110286 PECOS PAC ID: 5395088140 Enrollment ID: I20201118002821 |
| Provider Name | Whitney L Gudgel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427596279 PECOS PAC ID: 6204248347 Enrollment ID: I20201215001927 |
| Provider Name | Gina Roppa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720698236 PECOS PAC ID: 9234538547 Enrollment ID: I20210518002566 |
| Provider Name | Debra M Maxey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356637672 PECOS PAC ID: 0547668212 Enrollment ID: I20211011000832 |
| Provider Name | Shi-metria M Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154713709 PECOS PAC ID: 3375921695 Enrollment ID: I20220527000662 |
| Provider Name | Deborah L Frasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407827892 PECOS PAC ID: 9436173804 Enrollment ID: I20230126002170 |
| Provider Name | Barbara Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316655160 PECOS PAC ID: 3173994050 Enrollment ID: I20230201001866 |
| Provider Name | Adesuwa Lillian Obasogie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518687110 PECOS PAC ID: 5193198612 Enrollment ID: I20230303001877 |
| Provider Name | Cassandra Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003257387 PECOS PAC ID: 1052786209 Enrollment ID: I20230331001852 |
| Provider Name | Aimee Nienstedt Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679099618 PECOS PAC ID: 3375966518 Enrollment ID: I20230720000497 |
| Provider Name | Matthew Mcghee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033364724 PECOS PAC ID: 0749630648 Enrollment ID: I20231219000247 |
| Provider Name | Afshan Sultana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073631099 PECOS PAC ID: 1355508672 Enrollment ID: I20231219000381 |
| Provider Name | Kayla Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457621146 PECOS PAC ID: 1153771829 Enrollment ID: I20231220003053 |
| Provider Name | Jennifer Mally |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225121353 PECOS PAC ID: 8921458654 Enrollment ID: I20231221001175 |
| Provider Name | Jennifer Ratzlaff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033268727 PECOS PAC ID: 1951589985 Enrollment ID: I20231228002176 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043369754 PECOS PAC ID: 7517317894 Enrollment ID: I20231228002846 |
| Provider Name | Nicole E Harding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487316998 PECOS PAC ID: 7113452665 Enrollment ID: I20241121001165 |
Mental Health Center Of East Central Kansas A Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 | |
Tfi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 Commercial St, Emporia, KS 66801 Phone: 620-343-6111 Fax: 620-342-0451 | |
Mental Health Center Of East Central Kansas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E 8th Ave, Emporia, KS 66801 Phone: 620-343-2211 | |
Hope Light Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9 W 5th Ave, Emporia, KS 66801 Phone: 620-481-6036 Fax: 620-208-6145 | |
Brave Counseling And Consultation Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1512 W 6th Ave Ste B, Emporia, KS 66801 Phone: 620-208-6577 Fax: 620-412-8954 | |
Tfi Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Commercial St, Emporia, KS 66801 Phone: 620-342-2239 Fax: 620-342-0451 | |