| Sumner Mental Health Center | |
|
1601 West 16th Street Wellington KS 67152-8125 | |
| (620) 326-7448 | |
| (620) 326-6662 |
| Full Name | Sumner Mental Health Center |
|---|---|
| Speciality | Counselor |
| Location | 1601 West 16th Street, Wellington, Kansas |
| Authorized Official Name and Position | Richard L Gaskill (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6203267448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumner Mental Health Center P O Box 607 Wellington KS 67152-8125 Ph: (620) 326-7448 | Sumner Mental Health Center 1601 West 16th Street Wellington KS 67152-8125 Ph: (620) 326-7448 |
| NPI Number | 1093735896 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 1759337959 |
|---|---|
| Medicare Enrollment ID | O20050330000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093735896 | NPI | - | NPPES |
| 006936 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100007530B | Medicaid | KS | |
| 100229020A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 031 (Kansas) | Primary |
| Provider Name | Trever A Krehbiel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720284250 PECOS PAC ID: 8426245036 Enrollment ID: I20101208001111 |
| Provider Name | Julie M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063725539 PECOS PAC ID: 4284816075 Enrollment ID: I20110316000133 |
| Provider Name | Angela Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184753113 PECOS PAC ID: 4880849132 Enrollment ID: I20130313000036 |
| Provider Name | Sheila R Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548351315 PECOS PAC ID: 6305063538 Enrollment ID: I20140813000019 |
| Provider Name | Tera A Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851769939 PECOS PAC ID: 9931490885 Enrollment ID: I20160623000914 |
| Provider Name | Jennifer N Matamoros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497180939 PECOS PAC ID: 6507112802 Enrollment ID: I20180628001771 |
| Provider Name | Jennie L Pinion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073732186 PECOS PAC ID: 2860733813 Enrollment ID: I20190401001771 |
| Provider Name | Sarah Blosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407404486 PECOS PAC ID: 6103242961 Enrollment ID: I20200811003853 |
| Provider Name | Stephanie E Putnam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033567045 PECOS PAC ID: 1951712975 Enrollment ID: I20201124000856 |
| Provider Name | Jessica E Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790377695 PECOS PAC ID: 2365850245 Enrollment ID: I20210413002236 |
| Provider Name | Kaitlin M Heaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629506704 PECOS PAC ID: 1759782584 Enrollment ID: I20210630001319 |
| Provider Name | Amy Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902288038 PECOS PAC ID: 7315321791 Enrollment ID: I20220902001617 |
| Provider Name | Kelley M Rambo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144493867 PECOS PAC ID: 1355715947 Enrollment ID: I20230501001225 |
| Provider Name | Taylor Courtois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316622244 PECOS PAC ID: 3476915174 Enrollment ID: I20230811002282 |
| Provider Name | Barry Avers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215329222 PECOS PAC ID: 0143665786 Enrollment ID: I20240305002110 |
| Provider Name | Tracey Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780132449 PECOS PAC ID: 3678947504 Enrollment ID: I20240613000741 |
Sumner Regional Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 N. A. Street, Wellington, KS 67152 Phone: 620-326-7451 Fax: 620-326-2225 | |
Sumner Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 West 16th Street, Wellington, KS 67152 Phone: 620-326-7448 | |
Sumner Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W 16th St, Wellington, KS 67152 Phone: 620-326-7448 | |
Khan Noohani Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 Phone: 620-326-7451 | |
Sumner Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W 16th St, Wellington, KS 67152 Phone: 620-326-7448 Fax: 620-209-1773 | |
Sumner Community Hospital Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 N A St, Wellington, KS 67152 Phone: 620-326-7451 Fax: 620-326-2225 |