Individual provider Active NPI

Annelisa K Sidoriak

  • Mental Health Counselor
  • Salina, KS
National Provider Identifier
1255898573
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3354 Issued in KS
Practice address
5097 W Cloud St
Salina, KS 67401-9743
Phone
(800) 423-1342
Fax
(785) 628-3113
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3354 KS Primary

Addresses

Primary practice location

5097 W Cloud St
Salina, KS 67401-9743

Mailing address

509 E Elm St
Salina, KS 67401-2353
Phone (800) 423-1342

Other practice location 1

3730 E Lincoln St
Wichita, KS 67218-2008
Phone (800) 423-1342

Other practice location 2

1121 N 5th St
Kansas City, KS 66101-2305
Phone (800) 423-1342

Other practice location 3

2008 11th St
Great Bend, KS 67530-4419
Phone (800) 423-1342

Other practice location 4

645 E Iron Ave Ste C
Salina, KS 67401-2697
Phone (800) 423-1342

Other names 1

  • Annelisa Armenta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3354KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Community and Residential Services, Inc Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1255898573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 W CLOUD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674019743",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3730 E Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672182008",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661012305",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 11th St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675304419",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E Iron Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674012697",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDORIAK",
        "first_name": "ANNELISA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNELISA",
            "last_name": "ARMENTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.