Individual provider Active NPI

Tychelle Schie'Rre Jones, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
National Provider Identifier
1104232875
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4638 Issued in KS
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

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
481139335MedicaidKS

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8553KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Resources Inc. CurrentSince Sep 25, 2019 Accepting new patients
365 Days 365 Chances Counseling Services, LLC Clinical CurrentSince Jan 26, 2022 Accepting new patients
Mind & Body Healing Collective, LLC Clinical CurrentSince Dec 1, 2022 Accepting new patients
Richard & Donna Burnett Clinical PastSince May 1, 1995 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.

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

Verify at the official NPI Registry.