Organization Active NPI

Michelle Oliphant, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
National Provider Identifier
1144744723
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
10366 Issued in KS
Legal business name
MICHELLE OLIPHANT, LLC
Practice address
4601 E Douglas Ave Ste 120
Wichita, KS 67218-1032
Phone
(316) 500-3711
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Michelle Oliphant, LMSWNPI 1609304922
Title
Sole Owner
Phone
(316) 500-3711

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 10366 KS Primary

Addresses

Primary practice location

4601 E Douglas Ave Ste 120
Wichita, KS 67218-1032

Mailing address

4601 E Douglas Ave Ste 120
Wichita, KS 67218-1032
Phone (316) 500-3711

Other identifiers 1

IdentifierTypeStateIssuer
201157740AMedicaidKS

Other names 1

  • Michelle Oliphant, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4601 E Douglas Ave
Ste 120
Wichita, KS 67218
Phone (316) 337-5585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1144744723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181032",
            "telephone_number": "13165003711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181032",
            "telephone_number": "316-500-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE OLIPHANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OLIPHANT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "316-500-3711",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "10366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201157740A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Oliphant, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.