Individual provider Active NPI

Alexander M Trout

  • Professional Counselor
  • Manhattan, KS
National Provider Identifier
1194461343
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
03808 Issued in KS
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911003781 KS Practitioner - Mental Health Counselor 6709326143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03808KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues for Change CurrentSince Jul 5, 2024 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.

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

Verify at the official NPI Registry.