Shunga Creek Mental Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KS 0147 Issued in KS

Legal business name

SHUNGA CREEK MENTAL HEALTH

Practice address

5040 SW 28TH St
Topeka, KS 66614-2302

Phone

(785) 273-6200

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Deberah M Snodgrass

Title

Office Manager

Phone

(785) 273-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jim L. Woodward, LSCSW

  • Clinical Social Worker
  • Topeka, KS
  • NPI 1144280264
  NPD
• Faye Heller, APRN/CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Topeka, KS
  • NPI 1679549000
  NPD (past)
• Beverly Leuenberger, LSCSW

  • Clinical Social Worker
  • Topeka, KS
  • NPI 1477656775
  NPD (past)
• Allan H Marquardt, PH D LSCSW

  • Social Worker
  • Topeka, KS
  • NPI 1538263751
  NPD (past)
• William Edward Moore, MSW, LSCSW

  • Clinical Social Worker
  • Topeka, KS
  • NPI 1013983972
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1093249773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142302",
            "telephone_number": "785-273-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142302",
            "telephone_number": "785-273-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUNGA CREEK MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "DEBERAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-273-6200"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "KS 0147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165192",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Adell Shuler
• Kristina Shults
• Bryan K Shultz, RPH
• Beverlijane Shumaker, P.T.
• Boyd S Shumate, ARNP
• Shunga Family Dental Care PA
• Nathan Scott Shurden, CRNA
• Mariah Sidesinger, LMSW
• Laura N Sidlinger, ARNP
• Melinda Sidlinger, L.M.S.W

• Clinical Social Worker in Topeka, KS
• Providers in Topeka, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.