KC Learning Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KC LEARNING CENTER, INC

Practice address

1605 S Wayne St
Angola, IN 46703-2194

Phone

(260) 243-6840

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Rachel Witherby

Title

Founder/Co-Ceo

Phone

(260) 243-6840

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.

• Emilie Gustin

  • Behavior Analyst
  • Angola, IN
  • NPI 1164926648
  NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1407490220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467030455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032194",
            "telephone_number": "260-243-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC LEARNING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "WITHERBY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "FOUNDER/CO-CEO",
        "authorized_official_telephone_number": "260-243-6840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonathan Alley, D.O., P.C.
• Justin Kent
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• Jaimie Kessler
• Lon Nicholas Keyes, R.PH.
• Janice A. King, LMHC, LMFT

• Community/Behavioral Health Agency in Angola, IN
• Providers in Angola, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.