Individual provider Active NPI

Michelle Layne Harris, LSCSW, LCAC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1497983720
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4951 Issued in KS
Practice address
527 N Grove St
Wichita, KS 67214-4520
Phone
(316) 262-2415
Fax
(316) 262-4734
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 698 KS
Clinical Social Worker 1041C0700X 4951 KS Primary

Addresses

Primary practice location

527 N Grove St
Wichita, KS 67214-4520

Mailing address

527 N Grove St
Wichita, KS 67214-4520
Phone (316) 262-2415

Other practice location 1

935 N Market St
Wichita, KS 67214-3521
Phone (316) 858-1151

Other practice location 2

402 E 2nd St N
Wichita, KS 67202-2504
Phone (316) 262-2414

Other practice location 3

2750 S Roosevelt St
Wichita, KS 67210-1304
Phone (316) 652-0152

Other practice location 4

2318 E Central Ave
Wichita, KS 67214-4436
Phone (316) 262-2415

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hunterhealth@khindirect.org Direct

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
I20170313000890 KS Practitioner - Clinical Social Worker 4880978857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
698KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Health Clinic, Inc CurrentSince Jul 6, 2019 Accepting new patients
Hunter Health Clinic Inc CurrentSince Jul 6, 2019 Accepting new patients

Locations

2750 S Roosevelt St
Wichita, KS 67210
Phone (316) 262-2415

402 E 2nd St N
Wichita, KS 67202
Phone (316) 262-2414

527 N Grove St
Wichita, KS 67214
Phone (316) 262-2415

2318 E Central Ave
Wichita, KS 67214
Phone (316) 262-2415

935 N Market St
Wichita, KS 67214
Phone (316) 858-1151

Interoperability endpoints

  • Direct secure messaging: hunterhealth@khindirect.org

Organizations & group practices 2

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1497983720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N GROVE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144520",
            "telephone_number": "316-262-2415",
            "fax_number": "316-264-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N GROVE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144520",
            "telephone_number": "316-262-2415",
            "fax_number": "316-262-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 N Market St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143521",
            "country_code": "US",
            "telephone_number": "316-858-1151",
            "fax_number": "316-858-1152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E 2nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672022504",
            "country_code": "US",
            "telephone_number": "316-262-2414",
            "fax_number": "316-264-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 S Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672101304",
            "country_code": "US",
            "telephone_number": "316-652-0152",
            "fax_number": "316-652-0928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2318 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144436",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "fax_number": "316-262-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MICHELLE",
        "middle_name": "LAYNE",
        "credential": "LSCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "698",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hunterhealth@khindirect.org",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2318 E Central Ave",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.