Addictive Behavioral Change Health Group LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

07080895 Issued in KS

Legal business name

ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP LLC

Doing business as

Matrix Center

Practice address

9918 E. Harry
Wichita, KS 67207-5008

Phone

(316) 260-3445

Fax

(316) 260-3445

NPI assigned

Jun 22, 2009

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steve Goko Kamau, MA, LCAC

Title

Ceo

Phone

(316) 260-3445

Specialties & licenses 1

Addresses

Other names 1

• Matrix Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Kamau, MA, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Wichita, KS
  • NPI 1578712600
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1003043639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9918 E. HARRY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075008",
            "telephone_number": "316-260-3445",
            "fax_number": "316-260-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9918 E. HARRY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075008",
            "telephone_number": "316-260-3445",
            "fax_number": "316-260-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "GOKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-260-3445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KS",
            "license": "07080895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matrix Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline A Aday, RN , CDE
• Addiction Recovery and Resources of Wichita
• Addiction Specialists of Kansas
• Addiction Specialists of Kansas, Inc,
• Addiction Toxicology of Kansas LLC
• Brittaney Addis
• Judy Addison, LMLP, LCP
• Bose Funke Adeagbo, SOCIAL WORKER LMSW
• Raelynn Adelhardt
• Rishi Ram Adhikari, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.