Targeted Case Management Services of Kansas

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TARGETED CASE MANAGEMENT SERVICES OF KANSAS

Doing business as

Targeted Case Management of Kansas

Practice address

5916 Dearborn St
Mission, KS 66202-3316

Phone

(913) 229-3643

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Wren Otto, M.ED.; MPA

Title

Director of Services

Phone

(913) 229-3643

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Targeted Case Management of Kansas Doing business as

Locations

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1053160531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 DEARBORN ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023316",
            "telephone_number": "913-229-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 DEARBORN ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023316",
            "telephone_number": "913-229-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGETED CASE MANAGEMENT SERVICES OF KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "WREN",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "913-229-3643",
        "authorized_official_credential": "M.ED.; MPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005167300001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Targeted Case Management of Kansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Mission, KS
• Providers in Mission, KS by specialty
• Case Management Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.