NPIMap

Organization Active NPI

County of Sedgwick

Doing business as COMCARE Addiction Treatment Services

  • Addiction (Substance Use Disorder) Counselor
  • Wichita, KS
National Provider Identifier
1376624775
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
022 Issued in KS
Legal business name
COUNTY OF SEDGWICK
Doing business as
COMCARE Addiction Treatment Services
Practice address
940 N Waco Ave
Wichita, KS 67203-3947
Phone
(316) 660-7550
Fax
(316) 383-8241
NPI assigned
Oct 18, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Joan Tammany, LMLPNPI 1912965005
Title
Executive Director
Phone
(316) 660-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 022 KS Primary

Addresses

Primary practice location

940 N Waco Ave
Wichita, KS 67203-3947

Mailing address

635 N Main St
Wichita, KS 67203-3602
Phone (316) 660-7600

Other identifiers 2

IdentifierTypeStateIssuer
100056230CMedicaidKS
116044OtherKSBLUE CROSS OSAF

Other names 1

  • COMCARE Addiction Treatment Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000873 KS Part B Supplier - Clinic/Group Practice 2961304779 Receives reassigned benefits from 94 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wichita, KS

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Judge James V Riddel Boys Ranch12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

940 N Waco Ave
Wichita, KS 67203
Phone (316) 660-7550

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1376624775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033602",
            "telephone_number": "316-660-7600",
            "fax_number": "316-383-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N WACO AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033947",
            "telephone_number": "316-660-7550",
            "fax_number": "316-383-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SEDGWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "TAMMANY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-660-7600",
        "authorized_official_credential": "LMLP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100056230C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OSAF",
            "identifier": "116044",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMCARE Addiction Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2024; 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.