Active NPI
BHG XXX, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Kansas City, KS
National Provider Identifier
1619338696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 0697003W
- Legal business name
- BHG XXX, LLC
- Practice address
- 1125 N 5TH St
Kansas City, KS 66101-2305 - Phone
- (913) 348-0888
- Fax
- (913) 342-2644
- NPI assigned
- Mar 17, 2016
- Last updated
- Dec 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0697003W | KS | |
| Methadone Clinic | 261QM2800X | 0697003W | KS | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 0697003W | KS | Primary |
Addresses
Primary practice location
1125 N 5TH St
Kansas City, KS 66101-2305
Mailing address
5001 Spring Valley Rd
Suite 600 East
Dallas, TX 75244-3946
Phone (214) 365-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2105277 | BHG XXX, LLC | Certificate of waiver | Nov 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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.
-
- Family Medicine Physician
- Topeka, KS
- NPI 1326196718
-
- Family Medicine Physician
- Wichita, KS
- NPI 1003867953
-
- Psychiatric/Mental Health Nurse Practitioner
- Olathe, KS
- NPI 1952884488
-
- Addiction Medicine (Family Medicine) Physician
- Springfield, MO
- NPI 1558776229
KS
-
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1144435579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1619338696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY RD",
"address_2": "SUITE 600 EAST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443946",
"telephone_number": "214-365-6100",
"fax_number": "214-365-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N 5TH ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661012305",
"telephone_number": "913-348-0888",
"fax_number": "913-342-2644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHG XXX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-17",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "HIGHAM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-365-6112"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "KS",
"license": "0697003W",
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "KS",
"license": "0697003W",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "KS",
"license": "0697003W",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.