Individual provider Active NPI

Carly Curtis, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Lawrence, KS
National Provider Identifier
1194241315
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3205 Clinton Parkway CT
Lawrence, KS 66047-2627
Phone
(785) 843-5483
Fax
(785) 841-5433
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

3205 Clinton Parkway CT
Lawrence, KS 66047-2627

Mailing address

3205 Clinton Parkway CT
Lawrence, KS 66047-2627
Phone (785) 843-5483

Other identifiers 1

IdentifierTypeStateIssuer
14085789OtherCAQH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260415000541 KS Practitioner - Clinical Social Worker 4880160175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Clinical Services LLCGroup PAC ID 8426468000, 3 clinicians

Practice addresses (Care Compare)

2500 W 31St St
Suite G
Lawrence, KS 66047-3051
Phone (913) 961-4937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Treatment Services, LLC Addiction (Substance Use Disorder) CurrentSince Jul 24, 2022 Accepting new patients
Professional Treatment Services PastSince Jul 24, 2022 Accepting new patients

Locations

3205 Clinton Parkway Ct
Lawrence, KS 66047
Phone (785) 843-5483

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194241315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CLINTON PARKWAY CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472627",
            "telephone_number": "785-843-5483",
            "fax_number": "785-841-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 CLINTON PARKWAY CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472627",
            "telephone_number": "785-843-5483",
            "fax_number": "785-841-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "CARLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14085789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.