Individual provider Active NPI

Victoria A Hensley, LSCSW, LCAC

  • Clinical Social Worker
  • Frontenac, KS
National Provider Identifier
1124493390
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4960 Issued in KS
Practice address
604 Willard St
Frontenac, KS 66763-2120
Phone
(620) 249-4901
NPI assigned
Dec 14, 2015
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 747 KS
Social Worker 104100000X 9870 KS
Clinical Social Worker 1041C0700X 4960 KS Primary

Addresses

Primary practice location

604 Willard St
Frontenac, KS 66763-2120

Mailing address

604 Willard St
Frontenac, KS 66763-2120
Phone (620) 249-4901

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
I20190731001901 KS Practitioner - Clinical Social Worker 6608102439 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group KS PAGroup PAC ID 5991228165, 7 clinicians

Practice addresses (Care Compare)

1526 Houston St
Manhattan, KS 66502-4129
Phone (323) 205-7088

2809 N Broadway St
Suite E
Pittsburg, KS 66762-2684
Phone (620) 498-3031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
747KSMDAddiction (Substance Use Disorder) Counselor
9870KSMDSocial Worker
4960KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group KS, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Victory Empowered Therapy, LLC Clinical CurrentSince Aug 28, 2025 Accepting new patients
Crawford County Mental Health Center CurrentSince Apr 19, 2024 Accepting new patients

Locations

2809 N Broadway St
Ste E
Pittsburg, KS 66762
Phone (620) 232-3600

911 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 338-7282

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

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, 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": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1124493390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WILLARD ST",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667632120",
            "telephone_number": "620-249-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WILLARD ST",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667632120",
            "telephone_number": "620-249-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LSCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "747",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frontenac, KS

Sources for this page

Verify at the official NPI Registry.