Individual provider Active NPI

Stephen Kamau, MA, LCAC

  • Addiction (Substance Use Disorder) Counselor
  • Wichita, KS
National Provider Identifier
1578712600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
618 Issued in KS
Practice address
9918 E Harry St
Wichita, KS 67207-5008
Phone
(316) 260-3445
Fax
(316) 260-3367
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 618 KS Primary

Addresses

Primary practice location

9918 E Harry St
Wichita, KS 67207-5008

Mailing address

9918 E.Harry
Wichita, KS 67207
Phone (316) 260-3445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
618KSMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Addictive Behavioral Change Health Group LLC CurrentSince Jul 9, 2023 Accepting new patients

Locations

9918 E Harry St
Wichita, KS 67207
Phone (316) 260-3445

Organizations & group practices 1

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578712600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9918 E.HARRY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67207",
            "telephone_number": "316-260-3445",
            "fax_number": "316-260-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9918 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075008",
            "telephone_number": "316-260-3445",
            "fax_number": "316-260-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAU",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MA, LCAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.