| Southeast Kansas Mental Health Center | |
|
1106 S 9th St Humboldt KS 66748-1934 | |
| (620) 473-2241 | |
| (620) 473-3334 |
| Full Name | Southeast Kansas Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1106 S 9th St, Humboldt, Kansas |
| Authorized Official Name and Position | Shana Bennett (DIRECTOR OF OFFICE OPERATIONS) |
| Authorized Official Contact | 6203658641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Kansas Mental Health Center 1106 S 9th St P.o. Box 39 Humboldt KS 66748-1934 Ph: (620) 473-2241 | Southeast Kansas Mental Health Center 1106 S 9th St Humboldt KS 66748-1934 Ph: (620) 473-2241 |
| NPI Number | 1467414771 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 3870562879 |
|---|---|
| Medicare Enrollment ID | O20040927001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467414771 | NPI | - | NPPES |
| 100098050A | Medicaid | KS | |
| 006901 | Other | KS | BLUE SHIELD |
| Provider Name | Basuviah Shanker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821055534 PECOS PAC ID: 7315844230 Enrollment ID: I20031217000954 |
| Provider Name | Bruce W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952391740 PECOS PAC ID: 3870496037 Enrollment ID: I20040204000667 |
| Provider Name | Timothy C Spears |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639173156 PECOS PAC ID: 5597673327 Enrollment ID: I20040220000487 |
| Provider Name | Pamela R Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740381813 PECOS PAC ID: 3870565724 Enrollment ID: I20040811000433 |
| Provider Name | Karen Lea King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225034143 PECOS PAC ID: 4183696008 Enrollment ID: I20040811000576 |
| Provider Name | Guillermo R Ibarra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265497424 PECOS PAC ID: 3173560828 Enrollment ID: I20050413001113 |
| Provider Name | Greta S Mcfarland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801874086 PECOS PAC ID: 8426095001 Enrollment ID: I20050414000947 |
| Provider Name | Robert K Thomen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578553137 PECOS PAC ID: 6204873797 Enrollment ID: I20050415000554 |
| Provider Name | Charles Vanhouden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417953605 PECOS PAC ID: 3476592734 Enrollment ID: I20050427000460 |
| Provider Name | John A Helton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407908023 PECOS PAC ID: 4789628876 Enrollment ID: I20050620000662 |
| Provider Name | Martin W Dillow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073730867 PECOS PAC ID: 4789784448 Enrollment ID: I20070710000667 |
| Provider Name | Kathryn K Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841381894 PECOS PAC ID: 3577631498 Enrollment ID: I20081006000310 |
| Provider Name | Elizabeth D Garton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306037429 PECOS PAC ID: 8628146545 Enrollment ID: I20081006000340 |
| Provider Name | David M Guernsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538388251 PECOS PAC ID: 1456408038 Enrollment ID: I20090416000768 |
| Provider Name | John Jason Robinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376521468 PECOS PAC ID: 2163502709 Enrollment ID: I20100512001059 |
| Provider Name | Lila M Peckham Wichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366409427 PECOS PAC ID: 3375669112 Enrollment ID: I20100929000534 |
| Provider Name | Antigone M Means |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033261664 PECOS PAC ID: 4082730825 Enrollment ID: I20100929000560 |
| Provider Name | Amy A White Blakesley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588716963 PECOS PAC ID: 2567588304 Enrollment ID: I20100929000662 |
| Provider Name | Douglas E Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083766307 PECOS PAC ID: 8729104575 Enrollment ID: I20100929000693 |
| Provider Name | Leigh E Scharff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962756072 PECOS PAC ID: 1254586035 Enrollment ID: I20130228000010 |
| Provider Name | Rhoda L Schwindt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366605107 PECOS PAC ID: 6103050968 Enrollment ID: I20131009002088 |
| Provider Name | Janalin Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144372764 PECOS PAC ID: 1658504998 Enrollment ID: I20140512001404 |
| Provider Name | Kathi Yokum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255740171 PECOS PAC ID: 8628297983 Enrollment ID: I20140918000718 |
| Provider Name | Jason R Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508121294 PECOS PAC ID: 7517286172 Enrollment ID: I20150501001547 |
| Provider Name | Kelli Jo Eccles |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003284449 PECOS PAC ID: 1254640097 Enrollment ID: I20151019002006 |
| Provider Name | Erika Dawn Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245685403 PECOS PAC ID: 2961791769 Enrollment ID: I20160518001157 |
| Provider Name | Anissa Sell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437510757 PECOS PAC ID: 9739479676 Enrollment ID: I20160603002075 |
| Provider Name | Monique Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336681386 PECOS PAC ID: 9931488178 Enrollment ID: I20161111000156 |
| Provider Name | Candice L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578015616 PECOS PAC ID: 7911287701 Enrollment ID: I20161214000321 |
| Provider Name | Randall Edward Tindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609368075 PECOS PAC ID: 0345590725 Enrollment ID: I20180905002849 |
| Provider Name | Justin T Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851950364 PECOS PAC ID: 1153658364 Enrollment ID: I20190812001178 |
| Provider Name | Matthew Leroy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326453879 PECOS PAC ID: 1052536034 Enrollment ID: I20200722001804 |
| Provider Name | Michelle A Hoag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285912675 PECOS PAC ID: 7618380932 Enrollment ID: I20210106000687 |
| Provider Name | Courtney H Mcclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962098384 PECOS PAC ID: 8628485299 Enrollment ID: I20210326000129 |
| Provider Name | Christopher T Rehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285399451 PECOS PAC ID: 7719376516 Enrollment ID: I20211117001169 |
| Provider Name | Kristi Lickteig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437770559 PECOS PAC ID: 9537552211 Enrollment ID: I20220201000694 |
| Provider Name | Sarah D Lange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629332978 PECOS PAC ID: 0547654923 Enrollment ID: I20220301000727 |
| Provider Name | Megan K Byram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386133130 PECOS PAC ID: 1850779208 Enrollment ID: I20220526000467 |
| Provider Name | Yi Ying Law |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770006371 PECOS PAC ID: 8921371329 Enrollment ID: I20220526001646 |
| Provider Name | Daniel J Ortiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144857855 PECOS PAC ID: 5890119028 Enrollment ID: I20230510001690 |
| Provider Name | Cheryl Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306542824 PECOS PAC ID: 8527424654 Enrollment ID: I20230516002507 |
| Provider Name | Macole J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073224630 PECOS PAC ID: 7113384421 Enrollment ID: I20230601000241 |
| Provider Name | Debora Higginbotham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578822243 PECOS PAC ID: 1759741309 Enrollment ID: I20230714001726 |
| Provider Name | Rachel Reis Da Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215290614 PECOS PAC ID: 1759743305 Enrollment ID: I20230814001540 |
| Provider Name | Janden Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902501174 PECOS PAC ID: 8426496761 Enrollment ID: I20240404002985 |
| Provider Name | Cassandra Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790552784 PECOS PAC ID: 4880032135 Enrollment ID: I20240404003385 |
| Provider Name | Laura Steenburgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639855646 PECOS PAC ID: 7214391325 Enrollment ID: I20240429001869 |
| Provider Name | Shani R Mccurry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063438802 PECOS PAC ID: 8729975404 Enrollment ID: I20240520003249 |
| Provider Name | Steven Murdock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831739424 PECOS PAC ID: 0446692198 Enrollment ID: I20240524003435 |
Ashley Clinic Rhc Humboldt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S 9th St, Humboldt, KS 66748 Phone: 620-473-2275 Fax: 620-473-2821 | |
Community Health Center Of Southeast Kansas, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 S 9th St, Humboldt, KS 66748 Phone: 620-473-2241 Fax: 620-473-3334 | |
Ashley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 S 9th St, Humboldt, KS 66748 Phone: 620-473-2241 Fax: 620-473-3334 | |
Allen County Regional Clinic - Humboldt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S 9th St, Humboldt, KS 66748 Phone: 620-473-3008 | |
The Family Physicians Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S 9th, Humboldt, KS 66748 Phone: 620-365-3115 Fax: 620-365-7717 | |
Community Health Center Of Southeast Kansas, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1216 Hawaii Rd, Humboldt, KS 66748 Phone: 620-473-1002 |