Richelle Stroup

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05395 Issued in KS

Practice address

1721 E Osage Rd Ste 100
Derby, KS 67037-2198

Phone

(316) 206-3111

Fax

(316) 252-1336

NPI assigned

Feb 13, 2017

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Avenues LLC

  • Clinical Social Worker
  • Derby, KS
  • NPI 1811640063
  NPD Authorized official
• Richelle J. Stroup

  • Community/Behavioral Health Agency
  • Derby, KS
  • NPI 1609269281
  NPD (past) Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1619416476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N FOREST PARK ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670377912",
            "telephone_number": "316-250-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E OSAGE RD STE 100",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372198",
            "telephone_number": "316-206-3111",
            "fax_number": "316-252-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "RICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW 7669",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "counselingavenues@gmail.com",
            "affiliation": "N",
            "address_1": "1721 E Osage Rd Ste 100",
            "city": "Derby",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670372198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Steely, PHARM.D.
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• Steven a Kuhl OD, LLC
• Gloria D. Stone
• Jonathan L Streit, D.C
• Katy M Struble, DPT
• Sunlit Sequoia LLC
• Amanda Lee Swart, DPT
• Jimmy Ta, DPT
• Tanglewood Family Medical Center PA

• Clinical Social Worker in Derby, KS
• Providers in Derby, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.
• 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.