Kanza Mental Health and Guidance Center, Inc.
Organization Active NPI Social Worker · Hiawatha, KS
NPI 1619909181 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1619909181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- License
- 013 (KS)
- Legal business name
- KANZA MENTAL HEALTH AND GUIDANCE CENTER, INC.
- Practice address
- 909 S 2ND St
Hiawatha, KS 66434-2774 - Phone
- (785) 742-7113
- Fax
- (785) 742-3085
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Billy D Persinger Jr.
- Title
- Ceo
- Phone
- (785) 742-7113
Practitioners 40
-
Karen L. Baker, LCMFT
-
Alpha Warren Bales, LSCSW
-
Deliz Jivon Byrd, MS
-
Aaron R East, LMSW, LSCSW
-
Ann M Elifrits, LMLP, LCP
-
David L Elsbury, LMLP
-
Diane Sue Mangold, LISW
-
Melissa Rowlison, LCPC
-
Alexis Sierra Foster, PA-C
-
Amie Nichole Jones, APRN
-
Arlene Renee Long, FNP
-
William A Warnes, MD
-
Robin Diantha Tucker, PMHNP
-
Lanie Guynn, LMSW, LMAC
-
Man M Anand, MD
-
Janet Bair-Carpenter, LSCSW
-
Matthew D. Clayton, LSCSW, LCMFT
-
Paul R Cox, LSCSW
-
Tracy L Davies, APRN
-
Pamela J Franks, MS, ARNP
-
Barbara Huss, LSCSW
-
Dana Dayle Jessup, LSCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041021000916 | KS | Part B Supplier - Clinic/Group Practice | 7810958998 |
Receives reassigned benefits from 15 practitioners Practice locations: Hiawatha, KS; Holton, KS |
National Provider Directory
Locations
713 Idaho Ave
Holton, KS 66436
Phone (785) 364-4536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 013 | KS | |
| Psychologist |
103T00000X | 013 | KS | |
| Social Worker |
104100000X | 013 | KS | Yes |
Addresses
Primary practice location
909 S 2ND St
Hiawatha, KS 66434-2774
Mailing address
909 South 2ND Street
PO Box 319
Hiawatha, KS 66434-0319
Phone (785) 742-7113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097950B | Medicaid | KS | |
| 100097950A | Medicaid | KS | |
| 100097950D | Medicaid | KS | |
| 100097950C | Medicaid | KS |
Other providers in Hiawatha, KS
- Jordan D Haedt DDS LLC
- Kanza Mental Health & Guidance Center, Inc
- Kanza Mental Health and Guidance Center
- Kanza Mental Health and Guidance Center Alcohol and Drug
- Kanza Mental Health and Guidance Center, Inc.
- Melissa Keim
- Katie Lynn Kettler
- Paige Knudson
- Koechner Pharmacies LLC
- Koechner Pharmacies LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.