Active NPI
Richard E Head, LMSW
- Social Worker
- Tonganoxie, KS
National Provider Identifier
1275239394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW0386
- Practice address
- 17956 Donahoo Rd
Tonganoxie, KS 66086-5313 - Phone
- (913) 724-4200
- NPI assigned
- Jan 31, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW0386 | KS | Primary |
Addresses
Primary practice location
17956 Donahoo Rd
Tonganoxie, KS 66086-5313
Mailing address
17956 Donahoo Rd
Tonganoxie, KS 66086-5313
Phone (913) 724-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW0386 | Other | KS | STATE OF KANSAS BEHAVIORAL SCIENCES REGULATORY BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW0386 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1275239394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17956 DONAHOO RD",
"city": "TONGANOXIE",
"state": "KS",
"postal_code": "660865313",
"telephone_number": "913-724-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17956 DONAHOO RD",
"city": "TONGANOXIE",
"state": "KS",
"postal_code": "660865313",
"telephone_number": "913-724-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "LMSW0386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF KANSAS BEHAVIORAL SCIENCES REGULATORY BOARD",
"identifier": "LMSW0386",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tonganoxie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.