Individual provider Active NPI

Ian C Gingrich-Gaylord, LCPC

  • Professional Counselor
  • Newton, KS
National Provider Identifier
1427367150
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2192 Issued in KS
Practice address
1901 E 1St St
Newton, KS 67114-5010
Phone
(316) 284-6361
NPI assigned
Sep 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2192 KS Primary

Addresses

Primary practice location

1901 E 1St St
Newton, KS 67114-5010

Mailing address

1901 E 1St St
Newton, KS 67114-5010
Phone (316) 284-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214003487 KS Practitioner - Mental Health Counselor 9537518543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie View IncGroup PAC ID 5496652471, 27 clinicians

Practice addresses (Care Compare)

1901 E 1St St
Newton, KS 67114-5010
Phone (316) 284-6400

1901 E 1St St
PO Box 467
Newton, KS 67114-0467

PO Box
Suite 467
Newton, KS 67114-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2192KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie View, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Prairie View Inc Past Accepting new patients

Locations

508 S Ash St
Hillsboro, KS 67063
Phone (620) 947-2396

1102 Hospital Dr
McPherson, KS 67460
Phone (620) 245-5000

1901 E 1st St
Newton, KS 67114
Phone (316) 284-6400

7570 W 21st St N
Ste 1026D
Wichita, KS 67205
Phone (316) 729-6555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1427367150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010",
            "telephone_number": "316-284-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010",
            "telephone_number": "316-284-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRICH-GAYLORD",
        "first_name": "IAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.