David L Elsbury, LMLP
Individual provider Active NPI Clinical Psychologist · Hiawatha, KS
NPI 1104954965 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104954965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0221 (KS)
- Practice address
- 909 S 2ND St
Hiawatha, KS 66434-2774 - Phone
- (785) 742-7113
- Fax
- (785) 742-3085
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
909 S 2ND St
Hiawatha, KS 66434-2774
Phone (785) 742-7113
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710001762 | KS | Practitioner - Mental Health Counselor | 4688676505 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0221 | KS | MD | Clinical Psychologist |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0221 | KS | Yes |
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
Other providers in Hiawatha, KS
- Ralph D Dowell
- DRS Price Young Odle & Horsch PA
- Shiloah M Edie
- Ann M Elifrits
- Larry Elliott
- Eric C McPeak OD PA
- Kristin Fassnacht
- Sean Michael Fay
- Veronica Fierro
- Brenda June Fitz-Simmons
All providers in Hiawatha, KS · Clinical Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.