Addiction Specialists of Kansas, Inc,

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

447 Issued in KS

Legal business name

ADDICTION SPECIALISTS OF KANSAS, INC,

Practice address

650 N Carriage Parkway
Suite 135
Wichita, KS 67208-4514

Phone

(316) 685-4700

Fax

(316) 685-8247

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Anne M Dolan

Title

Practice Manager

Phone

(316) 685-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Addiction Specialists of Kansas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Addiction Specialists of Kansas

  • Clinical Medical Laboratory
  • Wichita, KS
  • NPI 1821271941
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Addiction Specialists of Kansas

  • Clinical Medical Laboratory
  • Wichita, KS
  • NPI 1821271941
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy M Scanlan, MD

  • Addiction Medicine (Family Medicine) Physician
  • Hugo, MN
  • NPI 1528054301
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023101656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PARKWAY",
            "address_2": "SUITE 135",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084514",
            "telephone_number": "316-685-4700",
            "fax_number": "316-685-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PARKWAY",
            "address_2": "SUITE 135",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084514",
            "telephone_number": "316-685-4700",
            "fax_number": "316-685-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION SPECIALISTS OF KANSAS, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "316-685-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "116023",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adaptive Living, LLC
• Adaptive Technologies LLC
• Jacqueline A Aday, RN , CDE
• Addiction Recovery and Resources of Wichita
• Addiction Specialists of Kansas
• Addiction Toxicology of Kansas LLC
• Addictive Behavioral Change Health Group LLC
• Brittaney Addis
• Judy Addison, LMLP, LCP
• Bose Funke Adeagbo, SOCIAL WORKER LMSW

• All providers in Wichita, KS
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.