Southeast Kansas Mental Health Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

025 Issued in KS

Legal business name

SOUTHEAST KANSAS MENTAL HEALTH CENTER

Practice address

1106 S 9TH St
Humboldt, KS 66748-1934

Phone

(620) 473-2241

Fax

(620) 473-3334

NPI assigned

Apr 3, 2006

Last updated

Mar 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shana Bennett

Title

Director of Office Operations

Phone

(620) 365-8641

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southeast Kansas Mental Health Center

  dba Ashley Clinic

  • Family Medicine Physician
  • Chanute, KS
  • NPI 1356122998

  O20040927001008

  Same enrollment

Locations

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Rae Allen, LSCSW

  • Clinical Social Worker
  • Topeka, KS
  • NPI 1740381813
  Medicare reassignment Care Compare group NPD
• Lori D Bancroft, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Humboldt, KS
  • NPI 1245054659
  Medicare reassignment Care Compare group NPD
• Megan Kathleen Byram, LSCSW

  • Clinical Social Worker
  • Fort Scott, KS
  • NPI 1386133130
  Medicare reassignment Care Compare group NPD
• Elizabeth Garton, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Humboldt, KS
  • NPI 1306037429
  Medicare reassignment Care Compare group NPD
• Cheryl Headley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chanute, KS
  • NPI 1306542824
  Medicare reassignment Care Compare group NPD
• John A Helton, PH D

  • Clinical Psychologist
  • Iola, KS
  • NPI 1407908023
  Medicare reassignment Care Compare group NPD
• Debora J Higginbotham, LSCSW

  • Clinical Social Worker
  • Iola, KS
  • NPI 1578822243
  Medicare reassignment Care Compare group NPD
• Yi Ying Law, MD

  • Surgery Physician
  • Chanute, KS
  • NPI 1770006371
  Medicare reassignment Care Compare group NPD
• Kristi Lee Lickteig, ARNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Garnett, KS
  • NPI 1437770559
  Medicare reassignment Care Compare group NPD
• Courtney Heather McClendon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Yates Center, KS
  • NPI 1962098384

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Shani McCurry, LCP

  • Mental Health Counselor
  • Ottawa, KS
  • NPI 1063438802
  Medicare reassignment Care Compare group NPD
• Antigone Marie Means, PHD

  • Clinical Psychologist
  • Iola, KS
  • NPI 1033261664
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1467414771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481934",
            "telephone_number": "620-473-2241",
            "fax_number": "620-473-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481934",
            "telephone_number": "620-473-2241",
            "fax_number": "620-473-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Iola",
            "state": "KS",
            "postal_code": "667492327",
            "country_code": "US",
            "telephone_number": "620-365-5717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Woodland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Scott",
            "state": "KS",
            "postal_code": "667018797",
            "country_code": "US",
            "telephone_number": "620-223-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 S Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Chanute",
            "state": "KS",
            "postal_code": "667202854",
            "country_code": "US",
            "telephone_number": "620-431-7890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 S Elm St",
            "address_purpose": "LOCATION",
            "city": "Garnett",
            "state": "KS",
            "postal_code": "660321420",
            "country_code": "US",
            "telephone_number": "785-448-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 Main St",
            "address_purpose": "LOCATION",
            "city": "Mound City",
            "state": "KS",
            "postal_code": "660565211",
            "country_code": "US",
            "telephone_number": "913-352-8214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "KS",
            "postal_code": "667481809",
            "country_code": "US",
            "telephone_number": "620-473-6088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1323 Georgia Rd",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "KS",
            "postal_code": "667483000",
            "country_code": "US",
            "telephone_number": "620-473-2275",
            "fax_number": "620-473-2821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "826 E Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Iola",
            "state": "KS",
            "postal_code": "667493555",
            "country_code": "US",
            "telephone_number": "620-365-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Iola",
            "state": "KS",
            "postal_code": "667493256",
            "country_code": "US",
            "telephone_number": "620-365-0151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "KS",
            "postal_code": "660754095",
            "country_code": "US",
            "telephone_number": "913-352-8214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S Plummer Ave",
            "address_purpose": "LOCATION",
            "city": "Chanute",
            "state": "KS",
            "postal_code": "667201950",
            "country_code": "US",
            "telephone_number": "620-431-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 S Kansas Ave",
            "address_purpose": "LOCATION",
            "city": "Chanute",
            "state": "KS",
            "postal_code": "667202107",
            "country_code": "US",
            "telephone_number": "620-431-7890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 S Main St",
            "address_purpose": "LOCATION",
            "city": "Yates Center",
            "state": "KS",
            "postal_code": "667831444",
            "country_code": "US",
            "telephone_number": "620-625-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DIRECTOR OF OFFICE OPERATIONS",
        "authorized_official_telephone_number": "620-365-8641"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000391474",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "006901",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Rogers
• Saint Luke's Hospital of Allen County, Inc
• Kristina Sirimarco
• Robert Newton Smith, O.D.
• Southeast Kansas Mental Health Center (Ashley Clinic)
• Southeast Kansas Mental Health Center
• Southeast Kansas Mental Health Center
• Southeast Kansas Mental Health Center
• Ashlyn Michele Stipp, COTA/L
• Jordan Stirewalt, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Humboldt, KS
• Providers in Humboldt, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.