NPIMap

Organization Active NPI

County of Crawford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburg, KS
National Provider Identifier
1215900899
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF CRAWFORD
Practice address
911 E Centennial Dr
Pittsburg, KS 66762-6601
Phone
(620) 231-5130
Fax
(620) 235-7101
NPI assigned
Feb 13, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stacy L Kratz
Title
Director of Operations
Phone
(620) 231-5130

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000259 KS Part B Supplier - Clinic/Group Practice 3173427747 Receives reassigned benefits from 13 practitioners
Practice locations: Girard, KS; Pittsburg, KS

National Provider Directory

National Provider Directory
Tax ID family
Crawford Co Mental Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

810 Cedar St
Girard, KS 66743
Phone (620) 724-8806

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

911 E Centennial Dr
Pittsburg, KS 66762-6601

Mailing address

911 E Centennial Dr
Pittsburg, KS 66762-6601
Phone (620) 231-5130

Other identifiers 7

NPPES NPI Registry
IdentifierTypeStateIssuer
10091610EMedicaidKS
00132OtherBCBS
100091610CMedicaidKS
100091610JMedicaidKS
00847OtherBCBS
000067OtherBCBS
100091610GMedicaidKS

Other names 1

NPPES NPI Registry
  • Community Mental Health Center of Crawford County Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2023.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1215900899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626601",
            "telephone_number": "620-231-5130",
            "fax_number": "620-235-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626601",
            "telephone_number": "620-231-5130",
            "fax_number": "620-235-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "620-231-5130"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10091610E",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00132",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091610C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091610J",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000067",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091610G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Mental Health Center of Crawford County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Mental Health Center of Crawford County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.