Organization Active NPI

Southeast Kansas Mental Health Center

  • Family Medicine Physician
  • Chanute, KS
National Provider Identifier
1356122998
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHEAST KANSAS MENTAL HEALTH CENTER
Doing business as
Ashley Clinic
Practice address
505 S Plummer Ave
Chanute, KS 66720-1950
Phone
(620) 431-2500
Fax
(620) 431-4418
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Douglas Wright
Title
Interim Ceo
Phone
(620) 365-8641

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

505 S Plummer Ave
Chanute, KS 66720-1950

Mailing address

PO Box 39
Humboldt, KS 66748-0039
Phone (620) 473-2241

Other practice location 1

204 S Main St
Yates Center, KS 66783-1444
Phone (620) 625-2746

Other practice location 2

1323 Georgia Rd
Humboldt, KS 66748-3000
Phone (620) 473-2275

Other practice location 3

1400 W 14th St.
3rd Floor Specialty Clinic
Coffeyville, KS 67337-3306
Phone (620) 431-2500

Other practice location 4

100 W 16th St
Eureka, KS 67045-1064
Phone (620) 431-2500

Other practice location 5

801 N 4th St
Burlington, KS 66839-2602
Phone (620) 431-2500

Other practice location 6

401 S Washington Ave
Iola, KS 66749-3256
Phone (620) 365-0151

Other practice location 7

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (620) 223-5030

Other practice location 8

2600 Ottawa Rd
Neodesha, KS 66757-1897
Phone (620) 431-2500

Other names 1

  • Ashley Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927001008 KS Part B Supplier - Clinic/Group Practice 3870562879 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Scott, KS; Yates Center, KS; Pleasanton, KS; Iola, KS; Humboldt, KS; Garnett, KS; Chanute, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1356122998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667480039",
            "telephone_number": "620-473-2241",
            "fax_number": "620-473-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201950",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 S Main St",
            "address_purpose": "LOCATION",
            "city": "Yates Center",
            "state": "KS",
            "postal_code": "667831444",
            "country_code": "US",
            "telephone_number": "620-625-2746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1323 Georgia Rd",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "KS",
            "postal_code": "667483000",
            "country_code": "US",
            "telephone_number": "620-473-2275",
            "fax_number": "620-473-2821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 W 14th St.",
            "address_2": "3rd Floor Specialty Clinic",
            "address_purpose": "LOCATION",
            "city": "Coffeyville",
            "state": "KS",
            "postal_code": "673373306",
            "country_code": "US",
            "telephone_number": "620-431-2500",
            "fax_number": "620-431-4418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "KS",
            "postal_code": "670451064",
            "country_code": "US",
            "telephone_number": "620-431-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KS",
            "postal_code": "668392602",
            "country_code": "US",
            "telephone_number": "620-431-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Iola",
            "state": "KS",
            "postal_code": "667493256",
            "country_code": "US",
            "telephone_number": "620-365-0151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Woodland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Scott",
            "state": "KS",
            "postal_code": "667018797",
            "country_code": "US",
            "telephone_number": "620-223-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Ottawa Rd",
            "address_purpose": "LOCATION",
            "city": "Neodesha",
            "state": "KS",
            "postal_code": "667571897",
            "country_code": "US",
            "telephone_number": "620-431-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "620-365-8641"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashley Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.