Active NPI
Alexander M Trout
- Professional Counselor
- Manhattan, KS
National Provider Identifier
1194461343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03808
- Practice address
- 2029 Vanesta PL Ste 20
Manhattan, KS 66503-7401 - Phone
- (314) 520-1461
- Fax
- (866) 288-1782
- NPI assigned
- May 10, 2022
- Last updated
- May 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 03808 | KS | Primary |
Addresses
Primary practice location
2029 Vanesta PL Ste 20
Manhattan, KS 66503-7401
Mailing address
PO Box 1223
Great Bend, KS 67530-1223
Phone (620) 796-2206
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | consensus.com | Other |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03808 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenues for Change | Current | Accepting new patients |
Locations
809 S Patton Rd
Great Bend, KS 67530
Phone (620) 796-2206
2029 Vanesta Pl
Ste 2
Manhattan, KS 66503
Phone (620) 796-2206
2029 Vanesta Pl
Ste 20
Manhattan, KS 66503
Phone (314) 520-1461
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Great Bend, KS
- NPI 1114630076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1194461343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1223",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675301223",
"telephone_number": "620-796-2206",
"fax_number": "866-288-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 VANESTA PL STE 20",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665037401",
"telephone_number": "314-520-1461",
"fax_number": "866-288-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUT",
"first_name": "ALEXANDER",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-10",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "03808",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "consensus.com",
"affiliation": "N",
"endpointDescription": "direct messaging",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "consensus.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "consensus.com",
"address_1": "2029 Vanesta Pl Ste 20",
"city": "Manhattan",
"state": "KS",
"country_code": "US",
"postal_code": "665037401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.