Individual provider Active NPI

Drew Andrew Hosman Sr., LCPC

  • Professional Counselor
  • Great Bend, KS
National Provider Identifier
1083732069
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
984 Issued in KS
Practice address
1105 Main St Ste D
Great Bend, KS 67530
Phone
(620) 282-7755
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 984 KS Primary

Addresses

Primary practice location

1105 Main St Ste D
Great Bend, KS 67530

Mailing address

1105 Main St Ste D
Great Bend, KS 67530-4471
Phone (620) 282-7755

Other practice location 1

5815 Broadway Ave
Great Bend, KS 67530-3123
Phone (620) 792-2544

Other identifiers 1

IdentifierTypeStateIssuer
100098090AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924001298 KS Practitioner - Mental Health Counselor 5799226221 Practice locations: Great Bend, KS

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1105 Main St
Suite D
Great Bend, KS 67530-4471
Phone (620) 282-7755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2369KSMDClinical Social Worker
984KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1083732069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MAIN ST STE D",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304471",
            "telephone_number": "620-282-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MAIN ST STE D",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "67530",
            "telephone_number": "620-282-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5815 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303123",
            "country_code": "US",
            "telephone_number": "620-792-2544",
            "fax_number": "620-792-7052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSMAN",
        "first_name": "DREW",
        "middle_name": "ANDREW",
        "name_suffix": "Sr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098090A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.