Active NPI
Cynthia May Johnson, LSCSW
- Clinical Social Worker
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSCSW05525
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201237110A | Medicaid | KS |
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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 72.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW05525 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Current | Accepting new patients | |
| Hope Arose Therapy LLC | Clinical | Current | Accepting new patients |
| Mental Health America of South Central Kansas, Inc. | Current | 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.
-
- Clinical Social Worker
- Bel Aire, KS
- NPI 1417831165
-
- Community/Behavioral Health Agency
- Wichita, KS
- NPI 1689710568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.