Organization Active NPI

Jeanne Erikson Counseling and Coaching LLC

  • Mental Health Counselor
  • Wichita, KS
National Provider Identifier
1023633898
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEANNE ERIKSON COUNSELING AND COACHING LLC
Practice address
200 W Douglas Ave Ste 555
Wichita, KS 67202-3007
Phone
(316) 776-2317
Fax
(833) 377-0520
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Jeanne Erikson, PH.D. LSCSW
Title
Owner/Provider
Phone
(316) 776-8917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

200 W Douglas Ave Ste 555
Wichita, KS 67202-3007

Mailing address

200 W Douglas Ave Ste 555
Wichita, KS 67202-3007
Phone (316) 776-2317

Other identifiers 3

IdentifierTypeStateIssuer
536-103-5OtherKSLLC ID NUMBER
0044759MedicaidKS
1633OtherKSLICENSED SPECIALIST CLINICAL SOCIAL WORKER

National Provider Directory

National Provider Directory

Locations

200 W Douglas Ave
Ste 555
Wichita, KS 67202
Phone (316) 665-4710

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1023633898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 555",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023007",
            "telephone_number": "316-776-2317",
            "fax_number": "833-377-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 555",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023007",
            "telephone_number": "316-776-2317",
            "fax_number": "833-377-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE ERIKSON COUNSELING AND COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "ERIKSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "316-776-8917",
        "authorized_official_credential": "PH.D. LSCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC ID NUMBER",
            "identifier": "536-103-5",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044759",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SPECIALIST CLINICAL SOCIAL WORKER",
            "identifier": "1633",
            "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 Jun 18, 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.