Christian Counseling Center / Osaf

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

CHRISTIAN COUNSELING CENTER / OSAF

Practice address

333 S Greenwood St
Wichita, KS 67211-1819

Phone

(316) 264-8800

Fax

(316) 264-8809

NPI assigned

Nov 21, 2007

Organization subpart

Yes

Parent organization

CHRISTIAN COUNSELING CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Mark D Glover, D.MIN,LCMFT

Title

Clinical Director

Phone

(316) 264-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Christian Counseling Center of Wichita Inc2 organizations share this tax ID, including this one

Part of

Christian Counseling Center of Wichita Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Christian Counseling Center of Wichita, Inc

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1689616062
  NPD tax ID

Locations

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1629259320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S GREENWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111819",
            "telephone_number": "316-264-8800",
            "fax_number": "316-264-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S GREENWOOD ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111819",
            "telephone_number": "316-264-8800",
            "fax_number": "316-264-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING CENTER / OSAF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN COUNSELING CENTER",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "316-264-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN,LCMFT"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "116083",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Diane Chrisman
• Christ Care Home Plus LLC
• Elizabeth Grace Christensen, MS, LCMFT
• Hadleigh Christensen
• Christian a. Hourani, MD, PA
• Christian Counseling Center of Wichita, Inc
• Connor Christiansen, DO
• Grant Christiansen
• Norma Lee Christiansen, LMSW
• Christina Granados Therapy LLC

• Addiction (Substance Use Disorder) Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Addiction (Substance Use Disorder) Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.