Organization Active NPI

Dynamic Counseling Services LLC

  • Mental Health Counselor
  • Wichita, KS
National Provider Identifier
1356982516
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DYNAMIC COUNSELING SERVICES LLC
Practice address
572 S Oliver St
Wichita, KS 67218-2351
Phone
(316) 734-6237
NPI assigned
Sep 30, 2019
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Delvon StaleyNPI 1649542176
Title
Counseling Director/Owner
Phone
(316) 734-6237

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

572 S Oliver St
Wichita, KS 67218-2351

Mailing address

615 S Holyoke St
Wichita, KS 67218-1904
Phone (316) 734-6237

National Provider Directory

National Provider Directory

Locations

572 S Oliver Ave
Wichita, KS 67218
Phone (316) 260-1127

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": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1356982516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S HOLYOKE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181904",
            "telephone_number": "316-734-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 S OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182351",
            "telephone_number": "316-734-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "DELVON",
        "authorized_official_title_or_position": "COUNSELING DIRECTOR/OWNER",
        "authorized_official_telephone_number": "316-734-6237"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.