NPIMap

Organization Active NPI

Counseling & Mediation Center Inc

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1013021401
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNSELING & MEDIATION CENTER INC
Practice address
200 W Douglas Ave Ste 560
Wichita, KS 67202-3020
Phone
(316) 269-2322
Fax
(316) 269-2448
NPI assigned
Aug 19, 2006
Last updated
Oct 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
J Douglas Morphis, LMFT, D.MIN.
Title
Interim Director
Phone
(316) 269-2322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X KS Primary

Addresses

Primary practice location

200 W Douglas Ave Ste 560
Wichita, KS 67202-3020

Mailing address

200 W Douglas Ave Ste 560
Wichita, KS 67202-3020
Phone (316) 269-2322

Other identifiers 1

IdentifierTypeStateIssuer
20043041AMedicaidKS

National Provider Directory

National Provider Directory

Locations

200 W Douglas Ave
Ste 560
Wichita, KS 67202
Phone (316) 269-2322

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1013021401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 560",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023020",
            "telephone_number": "316-269-2322",
            "fax_number": "316-269-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 560",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023020",
            "telephone_number": "316-269-2322",
            "fax_number": "316-269-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & MEDIATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "MORPHIS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "316-269-2322",
        "authorized_official_credential": "LMFT, D.MIN."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20043041A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.