| Prairie View, Inc.-outpatient | |
|
1901 E 1st St Newton KS 67114-5010 | |
| (316) 284-6400 | |
| (316) 284-6491 |
| Full Name | Prairie View, Inc.-outpatient |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1901 E 1st St, Newton, Kansas |
| Authorized Official Name and Position | Marcy Johnson (PRESIDENT/CEO) |
| Authorized Official Contact | 3162846310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie View, Inc.-outpatient 1901 E 1st St Po Box 467 Newton KS 67114-5010 Ph: (316) 284-6400 | Prairie View, Inc.-outpatient 1901 E 1st St Newton KS 67114-5010 Ph: (316) 284-6400 |
| NPI Number | 1558426486 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 5496652471 |
|---|---|
| Medicare Enrollment ID | O20031217000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558426486 | NPI | - | NPPES |
| 100005670D | Medicaid | KS | |
| A001 | Other | KS | TRICARE |
| 003764 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Kansas) | Primary |
| 283Q00000X | Psychiatric Hospital | (Kansas) | Secondary |
| Provider Name | Paula S Philson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649349127 PECOS PAC ID: 0143119941 Enrollment ID: I20040311000305 |
| Provider Name | Barbara Jeanne Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699700435 PECOS PAC ID: 3577540012 Enrollment ID: I20040702000313 |
| Provider Name | Mercedes J Perales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043273246 PECOS PAC ID: 9335185263 Enrollment ID: I20050630000997 |
| Provider Name | Marilyn B Ediger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619911542 PECOS PAC ID: 2163426172 Enrollment ID: I20060906000302 |
| Provider Name | Amy L Hammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073595567 PECOS PAC ID: 1254333768 Enrollment ID: I20070213000577 |
| Provider Name | Gregg E Friesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184608291 PECOS PAC ID: 8628176450 Enrollment ID: I20070601000464 |
| Provider Name | Keith K Buhr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316179666 PECOS PAC ID: 1850435405 Enrollment ID: I20100219000393 |
| Provider Name | Cassandra L Delaney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710179858 PECOS PAC ID: 4789711037 Enrollment ID: I20100419000794 |
| Provider Name | Gail Unruh-revel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588640395 PECOS PAC ID: 4486787025 Enrollment ID: I20100803000177 |
| Provider Name | David E Hon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740237510 PECOS PAC ID: 2668596339 Enrollment ID: I20100901000724 |
| Provider Name | Tiffany L Huxman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609007228 PECOS PAC ID: 3375669468 Enrollment ID: I20100927000389 |
| Provider Name | James D Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407839574 PECOS PAC ID: 0648462424 Enrollment ID: I20101012000744 |
| Provider Name | Aveekshit Tripathi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629206339 PECOS PAC ID: 9335396647 Enrollment ID: I20131113000838 |
| Provider Name | Satinder K Mahal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861620320 PECOS PAC ID: 0749437069 Enrollment ID: I20140923001103 |
| Provider Name | Laura C Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548560915 PECOS PAC ID: 1052638822 Enrollment ID: I20150317000415 |
| Provider Name | Anoria L Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275841546 PECOS PAC ID: 9133446792 Enrollment ID: I20150320000097 |
| Provider Name | Alisha M Coulson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386931038 PECOS PAC ID: 8426205311 Enrollment ID: I20150610001817 |
| Provider Name | Allyson N Krehbiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003175779 PECOS PAC ID: 2769798719 Enrollment ID: I20150904002071 |
| Provider Name | Sarah J Tauiliili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023427929 PECOS PAC ID: 8224347331 Enrollment ID: I20151012000857 |
| Provider Name | Brent R Ide |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225340912 PECOS PAC ID: 9537462395 Enrollment ID: I20160128001045 |
| Provider Name | Molly E Sapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770078891 PECOS PAC ID: 3870843394 Enrollment ID: I20180905000084 |
| Provider Name | Kristal L Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487132171 PECOS PAC ID: 6608129861 Enrollment ID: I20181106000101 |
| Provider Name | Mandi J Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841596194 PECOS PAC ID: 2163754300 Enrollment ID: I20191021003461 |
| Provider Name | Kayla J Witterick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902403413 PECOS PAC ID: 0648681619 Enrollment ID: I20201123002074 |
| Provider Name | Karen Marie Salsbery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538725080 PECOS PAC ID: 8820483241 Enrollment ID: I20220322002881 |
| Provider Name | Alyson R Sneath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184347627 PECOS PAC ID: 3577934108 Enrollment ID: I20230118002989 |
| Provider Name | Kelsey Faber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063821007 PECOS PAC ID: 4183096084 Enrollment ID: I20230201003101 |
| Provider Name | Amie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730785247 PECOS PAC ID: 8123484938 Enrollment ID: I20230522001555 |
| Provider Name | Kristen D Okumura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912604141 PECOS PAC ID: 5496112047 Enrollment ID: I20230613001593 |
| Provider Name | Andrea C Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629331574 PECOS PAC ID: 7618210204 Enrollment ID: I20230925002254 |
| Provider Name | Jan Willems |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114909637 PECOS PAC ID: 1759739295 Enrollment ID: I20231122001288 |
| Provider Name | Timothy Hein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376945766 PECOS PAC ID: 8820447980 Enrollment ID: I20231214001116 |
| Provider Name | Ian Gingrich-gaylord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427367150 PECOS PAC ID: 9537518543 Enrollment ID: I20231214003487 |
| Provider Name | John D Caporale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992739288 PECOS PAC ID: 1759624349 Enrollment ID: I20231220002051 |
| Provider Name | Jessica Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699244251 PECOS PAC ID: 1456694041 Enrollment ID: I20240223001243 |
| Provider Name | Anna Callon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790474013 PECOS PAC ID: 2163869819 Enrollment ID: I20240318002450 |
| Provider Name | Bryant Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841647005 PECOS PAC ID: 0345687950 Enrollment ID: I20240319001011 |
| Provider Name | Mary Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528830643 PECOS PAC ID: 8224478128 Enrollment ID: I20240425001570 |
| Provider Name | Tamara Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881132496 PECOS PAC ID: 7719429448 Enrollment ID: I20240610000065 |
| Provider Name | Lorri Rostetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821797846 PECOS PAC ID: 3971045600 Enrollment ID: I20240610000128 |
| Provider Name | Jami North |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043294168 PECOS PAC ID: 2163879271 Enrollment ID: I20240611003866 |
Mirror, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E 5th St, Newton, KS 67114 Phone: 316-283-6743 Fax: 316-283-6830 | |
Prairie View, Inc-partial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E 1st St, Newton, KS 67114 Phone: 316-284-6400 Fax: 316-284-6491 | |
Prairie View, Inc.-mcpherson D&a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E 1st St, Newton, KS 67114 Phone: 316-284-6400 Fax: 316-284-6491 | |
Newton Healthcare Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Medical Center Dr, Newton, KS 67114 Phone: 316-283-2700 | |
Youthville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Broadway St, Newton, KS 67114 Phone: 316-283-1950 Fax: 316-283-9540 | |
Ohalloran Play Therapy & Family Growth Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 6th St, Suite 140, Newton, KS 67114 Phone: 316-283-1142 Fax: 316-283-1142 | |
Emberhope, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 900 W Broadway, Newton, KS 67114 Phone: 316-283-1950 Fax: 316-529-9351 |