Organization Active NPI

Behavioral Guidance Center

  • Social Worker
  • Wichita, KS
National Provider Identifier
1083089627
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3789 Issued in KS
Legal business name
BEHAVIORAL GUIDANCE CENTER
Practice address
400 N Woodlawn St Ste 30
Wichita, KS 67208-4333
Phone
(316) 944-3940
Fax
(316) 946-0694
NPI assigned
Dec 8, 2015
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Lorry A. Swayze
Title
Billing MGR.
Phone
(316) 944-3940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 3789 KS Primary

Addresses

Primary practice location

400 N Woodlawn St Ste 30
Wichita, KS 67208-4333

Mailing address

PO Box 17053
Wichita, KS 67217-0053
Phone (316) 944-3940

Other identifiers 3

IdentifierTypeStateIssuer
KA2805013OtherKSMEDICARE #
3789OtherKSLICENSE
200877570AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & 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": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1083089627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17053",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672170053",
            "telephone_number": "316-944-3940",
            "fax_number": "316-946-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WOODLAWN ST STE 30",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084333",
            "telephone_number": "316-944-3940",
            "fax_number": "316-946-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "SWAYZE",
        "authorized_official_first_name": "LORRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BILLING MGR.",
        "authorized_official_telephone_number": "316-944-3940"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "KS",
            "license": "3789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "KA2805013",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3789",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200877570A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.