Individual provider Active NPI

Jill Rohde, LSCSW, LMAC

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1043587322
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07054 Issued in KS
Practice address
200 Maine St Ste a
Lawrence, KS 66044-1390
Phone
(785) 830-1757
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 685 KS
Clinical Social Worker 1041C0700X 07054 KS Primary

Addresses

Primary practice location

200 Maine St Ste a
Lawrence, KS 66044-1390

Mailing address

200 Maine St Ste a
Lawrence, KS 66044-1390
Phone (785) 830-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122002129 KS Practitioner - Clinical Social Worker 9931686854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bert Nash Community Mental Health Center IncGroup PAC ID 5799693834, 28 clinicians

Practice addresses (Care Compare)

200 Maine St
Suite a
Lawrence, KS 66044-1396
Phone (785) 843-9192

200 Maine St a
Lawrence, KS 66044-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07054KSMDClinical Social Worker
685KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Nash Community Mental Health Center Inc CurrentSince Jan 12, 2026 Accepting new patients

Locations

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1043587322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441390",
            "telephone_number": "785-830-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441390",
            "telephone_number": "785-830-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHDE",
        "first_name": "JILL",
        "credential": "LSCSW, LMAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "685",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "07054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.