Active NPI
Southeast Kansas Mental Health Center
- Family Medicine Physician
- Chanute, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Family Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Humboldt, KS
- NPI 1467414771
O20040927001008
National Provider Directory
National Provider DirectoryNPI 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
- Mallori Smith, PA-C
- South East Kansas Area Agency on Aging
- Southeast Kansas Area Agency on Aging
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Southeast Kansas Orthopedics & Sports Medicine
- Southeast Kansas Physician Associates, L.L.C.
- Danielle M Starr, AUD
- Zoie Elizabeth Stewart, M.S., CCC-SLP
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.