Individual provider Active NPI

Brooke Thouvenot

  • Psychiatric/Mental Health Nurse Practitioner
  • Lansing, KS
National Provider Identifier
1053876573
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-80720-051 Issued in KS
Practice address
842 N Main St
Lansing, KS 66043-1305
Phone
(913) 250-5155
Fax
(913) 250-5515
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 14-133740-051 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019004291 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-80720-051 KS Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2009026463 MO

Addresses

Primary practice location

842 N Main St
Lansing, KS 66043-1305

Mailing address

715 Southwind Dr
Junction City, KS 66441-9021
Phone (785) 209-3779

Other practice location 1

715 Southwind Dr
Junction City, KS 66441-9021
Phone (785) 209-3779

Other practice location 2

3905 Vanesta Dr
Manhattan, KS 66503-2001
Phone (785) 775-1867

Other practice location 3

705 1st Ave Ste A
Dodge City, KS 67801-4437
Phone (620) 471-3140

Other identifiers 1

IdentifierTypeStateIssuer
3005123750001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190325000244 MO Practitioner - Nurse Practitioner 6406196781 Reassigns benefits to 1 organization
I20240522001405 KS Practitioner - Nurse Practitioner 6406196781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victory Clinic LLC 6 clinicians

Practice addresses (Care Compare)

715 Southwind Dr
Junction City, KS 66441-9021
Phone (785) 209-3779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14-133740-051KSMDPsychiatric/Mental Health Registered Nurse
2009026463MOMDPsychiatric/Mental Health Registered Nurse
53-80720-051KSMDPsychiatric/Mental Health Nurse Practitioner
2019004291MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Clinic LLC CurrentSince Apr 1, 2024 Accepting new patients
Family Guidance Center for Behavioral Healthcare CurrentSince Mar 4, 2019 Accepting new patients
Flint Hills Heart Vascular and Vein Clinic, LLC CurrentSince Apr 1, 2024 Accepting new patients
Family Guidance Center for Behavioral Healthcare Past Accepting new patients

Locations

705 1st Ave
Ste A
Dodge City, KS 67801
Phone (620) 225-2522

715 Southwind Dr
Junction City, KS 66441
Phone (785) 209-3779

842 N Main St
Lansing, KS 66043
Phone (913) 250-5155

3905 Vanesta Dr
Manhattan, KS 66503
Phone (785) 320-5858

101 W 3rd St
Cameron, MO 64429
Phone (816) 632-6161

109 E Summit Dr
Maryville, MO 64468
Phone (660) 582-3139

724 N 22nd St
Saint Joseph, MO 64506
Phone (816) 396-5800

901 Felix St
Saint Joseph, MO 64501
Phone (816) 364-1862

Interoperability endpoints

  • Direct secure messaging: brooke.thouvenot@vcl-ks.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1053876573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SOUTHWIND DR",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664419021",
            "telephone_number": "785-209-3779",
            "fax_number": "785-209-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 N MAIN ST",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431305",
            "telephone_number": "913-250-5155",
            "fax_number": "913-250-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Southwind Dr",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664419021",
            "country_code": "US",
            "telephone_number": "785-209-3779",
            "fax_number": "785-209-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Vanesta Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665032001",
            "country_code": "US",
            "telephone_number": "785-775-1867",
            "fax_number": "785-775-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 1st Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678014437",
            "country_code": "US",
            "telephone_number": "620-471-3140",
            "fax_number": "320-471-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOUVENOT",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KS",
            "license": "14-133740-051",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019004291",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-80720-051",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2009026463",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005123750001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, KS

Sources for this page

Verify at the official NPI Registry.