Johnson County Mental Health

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JOHNSON COUNTY MENTAL HEALTH

Doing business as

JCMHC Chronic Care Clinic

Practice address

6440 Nieman Rd
Shawnee, KS 66203-3326

Phone

(913) 826-4200

NPI assigned

Aug 25, 2022

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

JOHNSON COUNTY MENTAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Lydia Longoria

Title

Qi Representative

Phone

(913) 826-4200

Specialties & licenses 3

Addresses

Other names 1

• JCMHC Chronic Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Johnson County MH Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Johnson County Dept of Health and Environment

  dba Johnson County Department of Health & Environment

  • Public Health or Welfare Agency
  • Olathe, KS
  • NPI 1639133085

  Member Of

  NPD member

Practitioners 1

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.

• Rachel Lyn Itkonen, FNP-BC

  • Family Nurse Practitioner
  • Shawnee, KS
  • NPI 1689327066
  Medicare reassignment NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1548989262",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033326",
            "telephone_number": "913-826-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 W Spruce St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660613123",
            "country_code": "US",
            "telephone_number": "913-826-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON COUNTY MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSON COUNTY MENTAL HEALTH CENTER",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "LONGORIA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "QI REPRESENTATIVE",
        "authorized_official_telephone_number": "913-826-4200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCMHC Chronic Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Bradford Jenkins, DPT
• Shayla Christine Jenkins, MD
• Jessop Dental LLC
• Jet Performance Chiropractic, PA
• Chul Hee Justin Johng, FNP-BC
• Johnson County Mental Health Center
• Douglas Johnson, LAC
• Lakisha Johnson
• Lindsay Ann Johnson, PHARMD
• Olivia Johnson

• General Practice Physician in Shawnee, KS
• Providers in Shawnee, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.