NPIMap

Organization Active NPI

Kanza Mental Health and Guidance Center, Inc.

  • Social Worker
  • Hiawatha, KS
National Provider Identifier
1619909181
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
013 Issued in 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
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Mr. Billy D Persinger Jr.
Title
Ceo
Phone
(785) 742-7113

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 013 KS
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 013 KS
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 013 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041021000916 KS Part B Supplier - Clinic/Group Practice 7810958998 Receives reassigned benefits from 15 practitioners
Practice locations: Hiawatha, KS; Holton, KS

National Provider Directory

National Provider Directory

Locations

713 Idaho Ave
Holton, KS 66436
Phone (785) 364-4536

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1619909181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SOUTH 2ND STREET",
            "address_2": "PO BOX 319",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664340319",
            "telephone_number": "785-742-7113",
            "fax_number": "785-742-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S 2ND ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342774",
            "telephone_number": "785-742-7113",
            "fax_number": "785-742-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANZA MENTAL HEALTH AND GUIDANCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "PERSINGER",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-742-7113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "013",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "013",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "KS",
            "license": "013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.