NPIMap

Organization Active NPI

South Central Mental Health Counseling Center

  • Psychologist
  • El Dorado, KS
National Provider Identifier
1396089694
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
T-LMLP 2425 Issued in KS
Legal business name
SOUTH CENTRAL MENTAL HEALTH COUNSELING CENTER
Practice address
2365 W Central Ave
El Dorado, KS 67042-3208
Phone
(316) 321-6036
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Mrs. Regina Corcimiglia
Title
HR Specialist
Phone
(316) 755-5491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X T-LMLP 2425 KS Primary

Addresses

Primary practice location

2365 W Central Ave
El Dorado, KS 67042-3208

Mailing address

2365 W Central Ave
El Dorado, KS 67042-3208
Phone (316) 321-6036

National Provider Directory

National Provider Directory
Tax ID family
South Central Mental Health Counseling Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1396089694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670423208",
            "telephone_number": "316-321-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670423208",
            "telephone_number": "316-321-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL MENTAL HEALTH COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "CORCIMIGLIA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "HR SPECIALIST",
        "authorized_official_telephone_number": "316-755-5491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "T-LMLP 2425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.