Active NPI
David L Elsbury, LMLP
- Clinical Psychologist
- Hiawatha, KS
National Provider Identifier
1104954965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0221
- Practice address
- 909 S 2ND St
Hiawatha, KS 66434-2774 - Phone
- (785) 742-7113
- Fax
- (785) 742-3085
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0221 | KS | Primary |
Addresses
Primary practice location
909 S 2ND St
Hiawatha, KS 66434-2774
Mailing address
704 Hiawatha Ave
Hiawatha, KS 66434-1937
Phone (785) 742-7967
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 S 2ND St
Hiawatha, KS 66434-2774
Phone (785) 742-7113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0221 | KS | MD | Clinical Psychologist |
| 1456 | KS | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanza Mental Health and Guidance Center, Inc. | Current | Accepting new patients | |
| Pawnee Mental Health Service, Inc. | Past | Accepting new patients |
Locations
909 S 2nd St
Hiawatha, KS 66434
Phone (785) 742-7113
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Hiawatha, KS
- NPI 1619909181
-
- Community/Behavioral Health Agency
- Hiawatha, KS
- NPI 1386857910
-
- Addiction (Substance Use Disorder) Counselor
- Hiawatha, KS
- NPI 1568675197
-
- Clinical Psychologist
- Hiawatha, KS
- NPI 1477766004
-
- Primary Care Clinic/Center
- Manhattan, KS
- NPI 1356139158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104954965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 HIAWATHA AVE",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664341937",
"telephone_number": "785-742-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 2ND ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342774",
"telephone_number": "785-742-7113",
"fax_number": "785-742-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSBURY",
"first_name": "DAVID",
"middle_name": "L",
"credential": "LMLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "0221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.