Active NPI
Spirits Healing Souls LLC
- Community Health Worker
- El Dorado, KS
National Provider Identifier
1043769359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- SPIRITS HEALING SOULS LLC
- Practice address
- 1880 SE Cole Creek Rd
El Dorado, KS 67042-9109 - Phone
- (316) 641-4403
- NPI assigned
- Sep 27, 2016
- Last updated
- Oct 6, 2016
- 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
- Donna L Mayfield
- Title
- Owner
- Phone
- (316) 641-4403
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 Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
1880 SE Cole Creek Rd
El Dorado, KS 67042-9109
Mailing address
1880 SE Cole Creek Rd
El Dorado, KS 67042-9109
Phone (316) 641-4403
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172V00000X | Other | KS | COMMUNITY MENTAL HEALTH CENTER |
| 171000000X | Other | KS | COMMUNITY MENTAL HEALTH CENTER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475712000000",
"number": "1043769359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 SE COLE CREEK RD",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670429109",
"telephone_number": "316-641-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 SE COLE CREEK RD",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670429109",
"telephone_number": "316-641-4403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPIRITS HEALING SOULS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-27",
"last_updated": "2016-10-06",
"status": "A",
"authorized_official_last_name": "MAYFIELD",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-641-4403"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY MENTAL HEALTH CENTER",
"identifier": "172V00000X",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY MENTAL HEALTH CENTER",
"identifier": "171000000X",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, KS
- South Central Mental Health Counseling Center Inc
- South Central Mental Health Counseling Center, Inc.
- South Central Mental Health Counseling Center, Inc.
- Specs
- Specs Eyecare
- Kelsi Sponsel, T-LMSW
- Charles B Staats, LMFT
- Ellen R Standlee, LMSW
- Jason Ryan Stanton, DC
- Steven a Kuhl OD, LLC (Grene Vision Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.