Counseling Services of Kansas, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2394 Issued in KS

Legal business name

COUNSELING SERVICES OF KANSAS, LLC

Practice address

201 N Penn Ave Ste 401
Independence, KS 67301-3354

Phone

(620) 331-2757

Fax

(844) 877-5747

NPI assigned

Sep 11, 2017

Last updated

Sep 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackie Scott

Title

Therapist/PT Owner

Phone

(918) 809-7919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1205355252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PENN AVE STE 401",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013354",
            "telephone_number": "620-331-2757",
            "fax_number": "844-877-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PENN AVE STE 401",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013354",
            "telephone_number": "620-331-2757",
            "fax_number": "844-877-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "THERAPIST/PT OWNER",
        "authorized_official_telephone_number": "918-809-7919"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Center of Southeast Kansas, Inc.
• Debra M Conrady, RN
• Sandra R Cook, PTA
• Kathryn Davenport Cornell, A.P.R.N.
• Janet Foster Cosgrove
• Countryside Counseling Center, LLC
• Tyler James Cox, MSW
• Stewart L. Crow, D.D.S. P.A.
• Abigail Jayne Cundiff, APRN
• Sara Daugherty

• Clinical Social Worker in Independence, KS
• Providers in Independence, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.