Individual provider Active NPI

Aaron David Scharenberg, LCPC

  • Mental Health Counselor
  • Andover, KS
National Provider Identifier
1336247196
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC 096 Issued in KS
Practice address
310 W Central Ave Ste L
Andover, KS 67002-9687
Phone
(316) 680-2449
Fax
(316) 315-6945
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC096 KS
Mental Health Counselor 101YM0800X LCPC 096 KS Primary
Mental Health Counselor 101YM0800X LCPC096 KS

Addresses

Primary practice location

310 W Central Ave Ste L
Andover, KS 67002-9687

Mailing address

14327 E Castlewood St
Wichita, KS 67230-7179
Phone (316) 680-2449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506000709 KS Practitioner - Mental Health Counselor 5294866703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 W Central Ave
Suite L
Andover, KS 67002-9687
Phone (316) 680-2449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC 096KSMDMental Health Counselor
LCPC096KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling LLC Mental Health CurrentSince Dec 15, 2024 Accepting new patients
Central Christian Church Mental Health PastSince Jan 4, 2010 Accepting new patients

Locations

310 W Central Ave
Ste L
Andover, KS 67002
Phone (316) 618-0331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1336247196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14327 E CASTLEWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307179",
            "telephone_number": "316-680-2449",
            "fax_number": "316-315-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W CENTRAL AVE STE L",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029687",
            "telephone_number": "316-680-2449",
            "fax_number": "316-315-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARENBERG",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC096",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LCPC 096",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LCPC096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.