Organization Active NPI

Solid Ground Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iola, KS
National Provider Identifier
1356728745
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOLID GROUND COUNSELING CENTER LLC
Practice address
323 N Kentucky St
Iola, KS 66749-2529
Phone
(620) 228-5392
Fax
(620) 380-6178
NPI assigned
May 5, 2015
Last updated
Aug 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2016

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

Authorized official

Name
Ms. Kim Leanne Bowers, LCPC, LCACNPI 1053608760
Title
Director
Phone
(620) 364-1415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 002C003J KS

Addresses

Primary practice location

323 N Kentucky St
Iola, KS 66749-2529

Mailing address

110 N 3Rd St
Burlington, KS 66839-1353
Phone (620) 364-1415

Other identifiers 2

IdentifierTypeStateIssuer
201115270AMedicaidKS
002C003JOtherKSKANSAS SUBSTANCE ABUSE FACILITY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Kim L Bowers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 N 3rd St
Burlington, KS 66839
Phone (620) 364-1415

323 N Kentucky St
Iola, KS 66749
Phone (620) 228-5392

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471737600000",
    "number": "1356728745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 3RD ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668391353",
            "telephone_number": "620-364-1415",
            "fax_number": "620-364-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N KENTUCKY ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667492529",
            "telephone_number": "620-228-5392",
            "fax_number": "620-380-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID GROUND COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2016-08-21",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-364-1415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, LCAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KS",
            "license": "002C003J",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201115270A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS SUBSTANCE ABUSE FACILITY LICENSE",
            "identifier": "002C003J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.