Individual provider Active NPI

Cynthia May Johnson, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1629531322
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW05525 Issued in KS
Practice address
555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673
Phone
(316) 685-1821
Fax
(316) 685-0768
NPI assigned
Apr 9, 2019
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW05525 KS Primary

Addresses

Primary practice location

555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673

Mailing address

4916 E Willow Point CT
Bel Aire, KS 67220-1755

Other practice location 1

9415 E Harry St Ste 800
Wichita, KS 67207-5084
Phone (316) 652-2590

Other practice location 2

4916 E Willow Point Ct
Bel Aire, KS 67220-1755
Phone (316) 617-5111

Other practice location 3

9415 E Harry St Ste 706
Wichita, KS 67207-5084
Phone (316) 652-2590

Other identifiers 1

IdentifierTypeStateIssuer
201237110AMedicaidKS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210901001136 KS Practitioner - Clinical Social Worker 9032515952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bel Aire, KS 67220
Phone (316) 617-5111

Merit-based Incentive Payment System (MIPS)

Final score
56.65 of 100Reported as group
Quality
0
Improvement activities
40
Cost
72.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW05525KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC CurrentSince Apr 15, 2024 Accepting new patients
Hope Arose Therapy LLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Mental Health America of South Central Kansas, Inc. CurrentSince Aug 31, 2021 Accepting new patients

Locations

555 N Woodlawn St
Ste 3105
Wichita, KS 67208
Phone (316) 651-1201

7101 E 21st St N
Wichita, KS 67206
Phone (316) 682-8909

9415 E Harry St
Ste 706
Wichita, KS 67207
Phone (316) 333-4033

9415 E Harry St
Ste 800
Wichita, KS 67207
Phone (316) 652-2590

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1629531322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 E WILLOW POINT CT",
            "city": "BEL AIRE",
            "state": "KS",
            "postal_code": "672201755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST STE 3105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083673",
            "telephone_number": "316-685-1821",
            "fax_number": "316-685-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9415 E Harry St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672075084",
            "country_code": "US",
            "telephone_number": "316-652-2590",
            "fax_number": "316-685-0768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4916 E Willow Point Ct",
            "address_purpose": "LOCATION",
            "city": "Bel Aire",
            "state": "KS",
            "postal_code": "672201755",
            "country_code": "US",
            "telephone_number": "316-617-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9415 E Harry St Ste 706",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672075084",
            "country_code": "US",
            "telephone_number": "316-652-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CYNTHIA",
        "middle_name": "MAY",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW05525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201237110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.