Eras Mental Health RX LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ERAS MENTAL HEALTH RX LLC

Practice address

11124 E 28TH St N Ste 105
Wichita, KS 67226-4562

Phone

(316) 247-1065

Fax

(316) 462-5752

NPI assigned

Feb 10, 2026

Last updated

Apr 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Theobald, FNPNPI 1427570373

Title

Owner

Phone

(316) 204-9258

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Michelle Theobald

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1427570373
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1134071574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 E 28TH ST N STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264562",
            "telephone_number": "316-247-1065",
            "fax_number": "316-462-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 E 28TH ST N STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264562",
            "telephone_number": "316-247-1065",
            "fax_number": "316-462-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERAS MENTAL HEALTH RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "THEOBALD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-204-9258",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Erb, PHARMD
• Jessica Erbst, RD, LD
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• Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.