Individual provider Active NPI

Joshua T Gilbertson, PHD

  • Counseling Psychologist
  • Wichita, KS
National Provider Identifier
1649775750
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2590 Issued in KS
Practice address
5500 E Kellogg Dr
Wichita, KS 67218
Phone
(316) 685-2221
NPI assigned
Mar 29, 2018
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2590 KS Primary

Addresses

Primary practice location

5500 E Kellogg Dr
Wichita, KS 67218

Mailing address

345 N Riverview St Ste 730
Wichita, KS 67203-4267
Phone (316) 461-8342

Other practice location 1

9415 E Harry St Ste 305
Wichita, KS 67207-5077
Phone (316) 461-8342

Other practice location 2

345 N Riverview St Ste 730
Wichita, KS 67203
Phone (316) 461-8342

Other identifiers 1

IdentifierTypeStateIssuer
201226810AMedicaidKS

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
I20190108003293 KS Practitioner - Clinical Psychologist 8628314887 Reassigns benefits to 1 organization
Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level LLCGroup PAC ID 0244634293, 26 clinicians

Practice addresses (Care Compare)

345 N Riverview St
Suite 730
Wichita, KS 67203-4267
Phone (316) 202-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2590KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Level LLC CurrentSince Sep 1, 2022 Accepting new patients
CCF Mental Health Consultation PA PastSince Dec 12, 2021 Accepting new patients

Locations

345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110

9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110

Organizations & group practices 2

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1649775750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 730",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034267",
            "telephone_number": "316-461-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-685-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9415 E Harry St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672075077",
            "country_code": "US",
            "telephone_number": "316-461-8342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 N Riverview St Ste 730",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67203",
            "country_code": "US",
            "telephone_number": "316-461-8342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "JOSHUA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201226810A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.