Tiffany Noteboom-Henderson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10434 Issued in KS

Practice address

6000 Lamar Ave Ste 130
Mission, KS 66202-3234

Phone

(913) 826-4200

Fax

(913) 826-1589

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Johnson County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission, KS
  • NPI 1174513444
  Medicare reassignment NPD
• Johnson County Mental Health Center

  • Community/Behavioral Health Agency
  • Mission, KS
  • NPI 1689324907
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508388778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "telephone_number": "913-826-4200",
            "fax_number": "913-826-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAMAR AVE STE 130",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "telephone_number": "913-826-4200",
            "fax_number": "913-826-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTEBOOM-HENDERSON",
        "first_name": "TIFFANY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel NG Cortinas, M.D.
• Danny Nguyen, PHARM D
• Chastity Jo Nichols, LPC
• Jessica Niederee, DMD
• Brooke Laurel Norton, D.D.S.
• O'Brien Infusion Services, Inc
• Justin Donald O'Brien
• Richard Martin Oakley, DDS
• Oh & BC Inc
• Oh&BC Inc

• Social Worker in Mission, KS
• Providers in Mission, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.