Firststarr Rehabilitation & Behavioral Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

334 Issued in KS

Legal business name

FIRSTSTARR REHABILITATION & BEHAVIORAL HEALTH, LLC

Practice address

4402 E Central Ave
Wichita, KS 67208-3912

Phone

(316) 201-1273

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Donaldson, PH.D.

Title

Executive Director

Phone

(316) 201-1273

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abiola Dipeolu, PHD

  • Cognitive & Behavioral Psychologist
  • Buffalo, NY
  • NPI 1861434169
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376689273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083912",
            "telephone_number": "316-201-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083912",
            "telephone_number": "316-201-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSTARR REHABILITATION & BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-201-1273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Fischer
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• Krista Fischer, APRN
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• Mental Health Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.