Individual provider Active NPI

David L Elsbury, LMLP

  • Clinical Psychologist
  • Hiawatha, KS
National Provider Identifier
1104954965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0221 Issued in KS
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710001762 KS Practitioner - Mental Health Counselor 4688676505 Reassigns benefits to 1 organization

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
Kanza Mental Health and Guidance Center, Inc.Group PAC ID 7810958998, 9 clinicians

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

LicenseStateTypeSpecialty
0221KSMDClinical Psychologist
1456KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kanza Mental Health and Guidance Center, Inc. CurrentSince Apr 22, 2024 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.

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

Verify at the official NPI Registry.