BHG Lxxxiv, LLC
Organization Active NPI Addiction Medicine (Psychiatry & Neurology) Physician · Lawrence, KS
NPI 1154035236 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1154035236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
- Legal business name
- BHG LXXXIV, LLC
- Practice address
- 1910 Haskell Avenue, Suite 9
Obot Room #100
Lawrence, KS 66046-3296 - Phone
- (785) 856-4357
- Fax
- (785) 856-1127
- NPI assigned
- Jan 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Anthony Kilgore
- Title
- Ceo
- Phone
- (214) 365-6112
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 2
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2304696 | BHG Lxxxiv, LLC Dba BHG Medical Services Kansas | Certificate of waiver | May 15, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230815003970 | KS | Part B Supplier - Clinic/Group Practice | 7012379506 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lawrence, KS; Kansas City, KS; Overland Park, KS |
National Provider Directory
- Tax ID family
- BHG Lxxxiv LLC
Locations
1910 Haskell Ave
Ste 9
Lawrence, KS 66046
Phone (785) 856-4357
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician |
2084A0401X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1910 Haskell Avenue, Suite 9
Obot Room #100
Lawrence, KS 66046-3296
Mailing address
5001 Spring Valley Rd Ste 600
Dallas, TX 75244-3946
Phone (214) 365-6100
Other names
- BHG Medical Services - Kansas
Other providers in Lawrence, KS
- Betsy the Doula, LLC
- Better Day Psychological Services, LLC
- Amy Michelle Beutler
- Kastoor Bhana
- BHG LXXV, LLC
- Natasha Bieker
- Cheryl Biesterfeld
- Martha Biggar
- Jacob Manfred Bigus
- Jennifer Bihlmaier
All providers in Lawrence, KS · Addiction Medicine (Psychiatry & Neurology) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.