Jacey Fischbach

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11503 Issued in KS

Practice address

404 N Baughman St
Ulysses, KS 67880-2058

Phone

(620) 356-3198

NPI assigned

Sep 14, 2021

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compass Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden City, KS
  • NPI 1922058510
  Medicare reassignment NPD
• True Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olathe, KS
  • NPI 1013848035
  NPD Authorized official
• Health Partnership Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Olathe, KS
  • NPI 1265785232
  Medicare reassignment
• Compass Behavioral Health

  • Community/Behavioral Health Agency
  • Garden City, KS
  • NPI 1891488474
  NPD (past)
• Health Partnership Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Overland Park, KS
  • NPI 1629651674
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1144990862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E 120TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619500",
            "telephone_number": "913-284-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N BAUGHMAN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802058",
            "telephone_number": "620-356-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 W 95th St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662072968",
            "country_code": "US",
            "telephone_number": "913-735-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHBACH",
        "first_name": "JACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth W Drees, LPC
• Dynatest Inc
• Family Dentistry
• Family Practice Associates of Ulysses LLC
• First Avenue Dental, P.a. (First Dental)
• Janetta K Freeman, RNC, PAC
• Good Choice Chiropractic,Inc (Kinesiology of Kansas & Wellness Center)
• Grant County Medical Equipment,LLC
• Gray Matter Mental Health and Recovery, LLC
• Chelsea Gray, APRN

• Social Worker in Ulysses, KS
• Providers in Ulysses, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.