NPIMap

Organization Active NPI

Four County Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Independence, KS
National Provider Identifier
1033288535
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FOUR COUNTY MENTAL HEALTH CENTER, INC.
Practice address
3354 Highway 160
Independence, KS 67301-7841
Phone
(620) 331-1748
Fax
(620) 332-1940
NPI assigned
Nov 7, 2006
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Mr. Jodi L. Mason
Title
Director Business Operations
Phone
(620) 331-1748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X KS Primary

Addresses

Primary practice location

3354 Highway 160
Independence, KS 67301-7841

Mailing address

PO Box 688
Independence, KS 67301-0688
Phone (620) 331-1748

Other identifiers 1

IdentifierTypeStateIssuer
100097980DMedicaidKS

National Provider Directory

National Provider Directory
Tax ID family
Four County Mental Heal9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1033288535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673010688",
            "telephone_number": "620-331-1748",
            "fax_number": "620-332-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 HIGHWAY 160",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673017841",
            "telephone_number": "620-331-1748",
            "fax_number": "620-332-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR COUNTY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "620-331-1748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097980D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.