Complete Circle Counseling & Coaching, P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3874 Issued in KS

Legal business name

COMPLETE CIRCLE COUNSELING & COACHING, P.A.

Practice address

127 E Avenue B Ste B
Hutchinson, KS 67501-7422

Phone

(620) 259-7993

Fax

(620) 259-7994

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Rebeca SandovalNPI 1306943345

Title

Lscsw

Phone

(620) 694-4078

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

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

• Rebeca J Sandoval, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
  • NPI 1306943345
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1386875078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E AVENUE B STE B",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017422",
            "telephone_number": "620-259-7993",
            "fax_number": "620-259-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E AVENUE B STE B",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017422",
            "telephone_number": "620-259-7993",
            "fax_number": "620-259-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CIRCLE COUNSELING & COACHING, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "LSCSW",
        "authorized_official_telephone_number": "620-694-4078"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098120A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Cole, ARNP
• Robert L. Coleman, D.P.M.
• Lisha Jane Collins, COTA/L
• Wilbur Richard Collins II, LAC
• Complete Circle Counseling & Coaching
• Complete Family Eyecare Inc
• Kristin Constance, MD
• Sydney Cook
• Paige Cooper
• Bobbie Cooprider, LSCSW

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.