Roxanne Balinda Powell, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

678 Issued in KS

Practice address

122 N Millwood St
Wichita, KS 67203-5850

Phone

(316) 925-6755

Fax

(316) 265-4022

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita, KS
  • NPI 1700904513
  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1083259352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N MILLWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035850",
            "telephone_number": "316-925-6755",
            "fax_number": "316-265-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N MILLWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035850",
            "telephone_number": "316-925-6755",
            "fax_number": "316-265-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ROXANNE",
        "middle_name": "BALINDA",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpowell@dccca.org",
            "affiliation": "N",
            "address_1": "122 N Millwood St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672035850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron Powell
• Addison Laine Powell
• Kiera Powell
• Logan Powell
• Patricia W Powell, MD
• Sara Powell
• Sara Powell, DO
• Gabriel Power, MD
• Molly Rebecca Powers-Stephenson
• Donna L Powers, ARNP

• Addiction (Substance Use Disorder) Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.