NPIMap

Organization Active NPI

Elizabeth Layton Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottawa, KS
National Provider Identifier
1649296757
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
008 Issued in KS
Legal business name
ELIZABETH LAYTON CENTER, INC.
Practice address
2537 Eisenhower Rd
Ottawa, KS 66067-9482
Phone
(785) 242-3780
Fax
(785) 242-6397
NPI assigned
Jul 14, 2006
Last updated
Aug 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Leslie Bjork, PSYD, LPNPI 1508926130
Title
Executive Director
Phone
(785) 242-3780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 008 KS Primary

Addresses

Primary practice location

2537 Eisenhower Rd
Ottawa, KS 66067-9482

Mailing address

2537 Eisenhower Rd
PO Box 677
Ottawa, KS 66067-9482
Phone (785) 242-3780

Other names 1

  • Franklin County Mental Health Clinic, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000253 KS Part B Supplier - Clinic/Group Practice 1557255940 Receives reassigned benefits from 41 practitioners
Practice locations: Ottawa, KS; Paola, KS

National Provider Directory

National Provider Directory
Tax ID family
Franklin Co MHC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1418 S Main St
Ste 3
Ottawa, KS 66067
Phone (785) 242-3780

204 E 15th St
Ottawa, KS 66067
Phone (785) 242-2183

102 Baptiste Dr
Paola, KS 66071
Phone (913) 557-9096

25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096

Practitioners & affiliated clinicians

Practitioners 122

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 122

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1649296757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 EISENHOWER RD",
            "address_2": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679482",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 EISENHOWER RD",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679482",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LAYTON CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "BJORK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-242-3780",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin County Mental Health Clinic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ottawa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.