| Spring River Mental Health & Wellness, Inc. | |
|
6610 Se Quakervale Rd Riverton KS 66770-4185 | |
| (620) 848-2300 | |
| (620) 848-2304 |
| Full Name | Spring River Mental Health & Wellness, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6610 Se Quakervale Rd, Riverton, Kansas |
| Authorized Official Name and Position | Robert Scott Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6208482300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring River Mental Health & Wellness, Inc. Po Box 550 Riverton KS 66770-0550 Ph: (620) 848-2300 | Spring River Mental Health & Wellness, Inc. 6610 Se Quakervale Rd Riverton KS 66770-4185 Ph: (620) 848-2300 |
| NPI Number | 1447393533 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 0446152433 |
|---|---|
| Medicare Enrollment ID | O20040121000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447393533 | NPI | - | NPPES |
| 100098150A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | William J Klontz |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1922001635 PECOS PAC ID: 8628015781 Enrollment ID: I20050411001249 |
| Provider Name | Laurel A Lahita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995678 PECOS PAC ID: 0648402149 Enrollment ID: I20140416000957 |
| Provider Name | Hsiangfeng Tsai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164806634 PECOS PAC ID: 6103132253 Enrollment ID: I20150903001330 |
| Provider Name | Robin M Decastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548418114 PECOS PAC ID: 6800963570 Enrollment ID: I20151007003077 |
| Provider Name | Taryn M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295101988 PECOS PAC ID: 5193034825 Enrollment ID: I20151021000434 |
| Provider Name | Ashley E Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184164766 PECOS PAC ID: 2961776935 Enrollment ID: I20180215002310 |
| Provider Name | Peggy Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336614890 PECOS PAC ID: 7911250212 Enrollment ID: I20181105000371 |
| Provider Name | Chelesia Burkes Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025854 PECOS PAC ID: 7517395387 Enrollment ID: I20230216002478 |
| Provider Name | Crystal Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417224239 PECOS PAC ID: 8921268079 Enrollment ID: I20231104000249 |
| Provider Name | Hannah Elise Neely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699498220 PECOS PAC ID: 0143679258 Enrollment ID: I20231214003201 |
Spring River Mental Health And Wellness, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2304 | |
Family Life Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2304 | |
Spring River Mental Health And Wellness, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2304 | |
Spring River Mental Health And Wellness, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2304 | |
Spring River Mental Health & Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2304 |