Active NPI
In His Image Christian Counseling, LLC
- Clinical Social Worker
- Garden City, KS
National Provider Identifier
1124435151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- KS1646
- Legal business name
- IN HIS IMAGE CHRISTIAN COUNSELING, LLC
- Practice address
- 201 E Laurel St
Garden City, KS 67846-5538 - Phone
- (620) 272-9506
- Fax
- (620) 272-9833
- NPI assigned
- Jul 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doris M. Arwine, LSCSW
- Title
- Clinical Social Work Therapist
- Phone
- (620) 272-9506
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | KS1646 | KS | Primary |
Addresses
Primary practice location
201 E Laurel St
Garden City, KS 67846-5538
Mailing address
201 E Laurel St
Garden City, KS 67846-5538
Phone (620) 272-9506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 E Laurel St
Garden City, KS 67846
Phone (224) 201-6861
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Garden City, KS
- NPI 1922038033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405987200000",
"number": "1124435151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E LAUREL ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465538",
"telephone_number": "620-272-9506",
"fax_number": "620-272-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E LAUREL ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465538",
"telephone_number": "620-272-9506",
"fax_number": "620-272-9833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HIS IMAGE CHRISTIAN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A",
"authorized_official_last_name": "ARWINE",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORK THERAPIST",
"authorized_official_telephone_number": "620-272-9506",
"authorized_official_credential": "LSCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "KS1646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.