Active NPI
Elaine Mzhickteno Barr, LMSW LCAC
- Addiction (Substance Use Disorder) Counselor
- Mayetta, KS
National Provider Identifier
1043630650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 335
- Practice address
- 11400 - 158TH Road
Mayetta, KS 66509-0174 - Phone
- (785) 966-8200
- Fax
- (785) 966-8386
- NPI assigned
- Apr 22, 2014
- Last updated
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 335 | KS | Primary |
| Social Worker | 104100000X | 6929 | KS |
Addresses
Primary practice location
11400 - 158TH Road
Mayetta, KS 66509-0174
Mailing address
PO Box 174
11400 - 158TH Road
Mayetta, KS 66509-0174
Phone (785) 966-8353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335 | KS | MD | Marriage & Family Therapist |
| 6929 | KS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1043630650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 174",
"address_2": "11400 - 158TH ROAD",
"city": "MAYETTA",
"state": "KS",
"postal_code": "665090174",
"telephone_number": "785-966-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11400 - 158TH ROAD",
"city": "MAYETTA",
"state": "KS",
"postal_code": "665090174",
"telephone_number": "785-966-8200",
"fax_number": "785-966-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "ELAINE",
"middle_name": "MZHICKTENO",
"name_prefix": "Mrs.",
"credential": "LMSW LCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "335",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "6929",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayetta, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.