Active NPI
Southwest Kansas Behavioral Health Services
- Community/Behavioral Health Agency
- Dodge City, KS
National Provider Identifier
1023905445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SOUTHWEST KANSAS BEHAVIORAL HEALTH SERVICES
- Practice address
- 2006 1St Ave Ste 602
Dodge City, KS 67801-2623 - Phone
- (620) 253-5789
- NPI assigned
- Jun 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Ann Blackburn, PMHNP
- Title
- Owner
- Phone
- (620) 339-7371
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2006 1St Ave Ste 602
Dodge City, KS 67801-2623
Mailing address
2006 1St Ave Ste 602
Dodge City, KS 67801-2623
Phone (620) 253-5789
National Provider Directory
National Provider DirectoryLocations
2006 1st Ave
Ste 602
Dodge City, KS 67801
Phone (620) 253-5789
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dodge City, KS
- NPI 1700643160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1023905445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 1ST AVE STE 602",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012623",
"telephone_number": "620-253-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 1ST AVE STE 602",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012623",
"telephone_number": "620-253-5789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST KANSAS BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-19",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "BLACKBURN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-339-7371",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.