Meadowlark Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MEADOWLARK COUNSELING, LLC

Practice address

1 N Main St Ste 416
Hutchinson, KS 67501-5250

Phone

(620) 960-7414

Fax

(888) 516-0964

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Kevin R Martin Nisly, LSCSWNPI 1407952278

Title

Therapist

Phone

(620) 960-7414

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

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

• Kevin R Martin Nisly, LMSW

  • Clinical Social Worker
  • Hutchinson, KS
  • NPI 1407952278
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1316569643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "ARLINGTON",
            "state": "KS",
            "postal_code": "675140051",
            "telephone_number": "620-960-7414",
            "fax_number": "620-259-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST STE 416",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015250",
            "telephone_number": "620-960-7414",
            "fax_number": "888-516-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN NISLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "620-960-7414",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200452020G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig James McKibben, LMSW
• Shean McKnight, MD
• Jena R McNall
• Giovanna McQuillen, RN
• Meadow View Estates, Inc.
• Linda Ann Meadows
• Medical Center, P.a.
• Medical Center, P.a.
• Medical Center, P.a.
• Medical Center, P.a.

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, 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 Mar 15, 2024; 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.