Autumn Irwin, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Iola, KS
NPI 1386375780 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1386375780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1707 (KS)
- Practice address
- 2051 N State St
Iola, KS 66749-1677 - Phone
- (620) 481-1267
- NPI assigned
- Jun 17, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1707 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1707 | KS | Yes |
Addresses
Primary practice location
2051 N State St
Iola, KS 66749-1677
Mailing address
1004 Chestnut St
Emporia, KS 66801-2500
Other practice location 1
1004 Chestnut St
Emporia, KS 66801-2500
Phone (620) 481-1267
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://chcsek.org/ |
Other providers in Iola, KS
- Iola Pharmacy Inc
- Iola Pharmacy Inc
- Iola Pharmacy Inc.
- Iola Rehabilitation & Health Care Center LLC
- Iola Vision Source, LLC
- Kelsey Jane Johnson
- Shannon Nicole Johnson
- William Ryan Jones
- David Willis Jordan
- Stacey Kale
All providers in Iola, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.