Great Plains Support Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GREAT PLAINS SUPPORT SERVICES LLC

Doing business as

Great Plains Support Services LLC

Practice address

2501 N Main St
North Newton, KS 67117-9002

Phone

(316) 461-9086

Fax

(316) 453-4173

NPI assigned

Dec 20, 2022

Last updated

Feb 28, 2023By 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

Stacy R Magee

Title

Executive Director

Phone

(316) 461-9086

Specialties & licenses 3

Addresses

Other names 1

• Great Plains Support Services LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Micaela Elizabeth Pruiett, LPC

  • Professional Counselor
  • Wichita, KS
  • NPI 1093532384
  NPD

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1316659485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S LAURA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111517",
            "telephone_number": "316-461-9086",
            "fax_number": "316-453-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N MAIN ST",
            "city": "NORTH NEWTON",
            "state": "KS",
            "postal_code": "671179002",
            "telephone_number": "316-461-9086",
            "fax_number": "316-453-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-461-9086"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Plains Support Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Plains Support Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Nicole Albers, MA CFY SLP
• Juan Manuel Barocio Jr., LSCSW
• Ashley Bird
• George Dyck, M.D.
• Marilyn Jane Harrold, C.R.N.A.
• Christopher Ibach, MS, LAT, ATC
• Samantha Rae Jennings, MA-SLP
• Kidron Bethel Retirement Services, Inc. (Bethel Healthcare Centre)
• Drannon Wayne Lenox, MS, ATC

• Developmentally Disabled Services Day Training Agency in North Newton, KS
• Providers in North Newton, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.