NPIMap

Organization Active NPI

Sumner Mental Health Center

  • Mental Health Counselor
  • Wellington, KS
National Provider Identifier
1093735896
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
031 Issued in KS
Legal business name
SUMNER MENTAL HEALTH CENTER
Practice address
1601 West 16TH Street
Wellington, KS 67152-8125
Phone
(620) 326-7448
Fax
(620) 326-6662
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Richard L Gaskill
Title
Chief Executive Officer
Phone
(620) 326-7448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 031 KS Primary

Addresses

Primary practice location

1601 West 16TH Street
Wellington, KS 67152-8125

Mailing address

P O Box 607
Wellington, KS 67152-8125
Phone (620) 326-7448

Other identifiers 3

IdentifierTypeStateIssuer
006936OtherKSBLUE CROSS BLUE SHIELD
100007530BMedicaidKS
100229020AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000440 KS Part B Supplier - Clinic/Group Practice 1759337959 Receives reassigned benefits from 20 practitioners
Practice locations: Wellington, KS

National Provider Directory

National Provider Directory
Tax ID family
Sumner Mental Health Ce4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1093735896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 607",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671528125",
            "telephone_number": "620-326-7448",
            "fax_number": "620-326-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WEST 16TH STREET",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671528125",
            "telephone_number": "620-326-7448",
            "fax_number": "620-326-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "GASKILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-326-7448"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "006936",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100007530B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229020A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.