Active NPI
Tychelle Schie'Rre Jones, LSCSW
- Clinical Social Worker
- Hutchinson, KS
National Provider Identifier
1104232875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4638
- Practice address
- 1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600 - Phone
- (620) 663-7595
- Fax
- (620) 513-5098
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8553 | KS | |
| Clinical Social Worker | 1041C0700X | 4638 | KS | Primary |
Addresses
Primary practice location
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Mailing address
2308 Browning Ave
Manhattan, KS 66502-1934
Phone (785) 320-9073
Other practice location 1
132 N Eisenhower Dr
Junction City, KS 66441-3314
Phone (785) 762-4210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 481139335 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8553 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Resources Inc. | Current | Accepting new patients | |
| 365 Days 365 Chances Counseling Services, LLC | Clinical | Current | Accepting new patients |
| Mind & Body Healing Collective, LLC | Clinical | Current | Accepting new patients |
| Richard & Donna Burnett | Clinical | Past | Accepting new patients |
Locations
6840 Silverheel St
Shawnee, KS 66226
Phone (913) 322-6455
511 SW Jackson St
Topeka, KS 66603
Phone (785) 232-1349
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Manhattan, KS
- NPI 1568052306
Clinical
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Topeka, KS
- NPI 1144523523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1104232875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 BROWNING AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665021934",
"telephone_number": "785-320-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N LORRAINE ST STE 202",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015600",
"telephone_number": "620-663-7595",
"fax_number": "620-513-5098"
}
],
"practiceLocations": [
{
"address_1": "132 N Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "KS",
"postal_code": "664413314",
"country_code": "US",
"telephone_number": "785-762-4210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "TYCHELLE",
"middle_name": "SCHIE'RRE",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "8553",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "481139335",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.