Advanced Behavioral Health LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Wichita, KS
NPI 1184595993 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1184595993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ADVANCED BEHAVIORAL HEALTH LLC
- Practice address
- 555 N Woodlawn St Ste 120
Wichita, KS 67208-3678 - Phone
- (316) 214-0372
- NPI assigned
- Sep 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Jessica Rae Ward, APRN
- Title
- Owner
- Phone
- (316) 214-0372
Practitioners 1
-
Jessica Ward, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260430004064 | KS | Part B Supplier - Clinic/Group Practice | 7113494782 |
Receives reassigned benefits from 1 practitioner Practice locations: Wichita, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
555 N Woodlawn St Ste 120
Wichita, KS 67208-3678
Mailing address
828 N Redbud CT
Valley Center, KS 67147-3207
Phone (316) 214-0372
Other providers in Wichita, KS
- Velvet Adrian
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- Advacare Medical Corporation
- Advance Medical Transporters
- Advanced Ambulatory Surgery Center LLC
- Advanced Care Home Plus LLC
- Advanced Case Management Services
- Advanced Chiropractic Ict, LLC
- Advanced Chiropractic West Wichita LLC
- Advanced Clinical Consultants LLC
All providers in Wichita, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.