Baillie R Buche, LPC

Individual provider Active NPI Professional Counselor · Wichita, KS

NPI 1144075482 · NPPES record last updated Apr 29, 2024

Key facts

NPI
1144075482
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
04640 (KS)
Practice address
345 N Riverview St Ste 730
Wichita, KS 67203-4267
Phone
(316) 202-2110
NPI assigned
Apr 19, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level LLC (26 clinicians)

Practice addresses (Care Compare)

345 N Riverview St
Suite 730
Wichita, KS 67203-4267
Phone (316) 202-2110

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 IDStateProvider typePAC IDDetails
I20240604000253 KS Practitioner - Mental Health Counselor 9335681550 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Level LLC Professional Current
since May 8, 2024
Accepting new patients

Locations

345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110

9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04640 KS Yes

Addresses

Primary practice location

345 N Riverview St Ste 730
Wichita, KS 67203-4267

Mailing address

345 N Riverview St Ste 730
Wichita, KS 67203-4267
Phone (316) 202-2110

Other providers in Wichita, KS

All providers in Wichita, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.