Reg A Ayres, LCP
Individual provider Active NPI Mental Health Counselor · Paola, KS
NPI 1659398642 · NPPES record last updated Feb 11, 2013
Key facts
- NPI
- 1659398642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LCP 073 (KS)
- Practice address
- 25955 W 327TH St
Paola, KS 66071-4920 - Phone
- (913) 557-9096
- Fax
- (913) 294-9247
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elizabeth Layton Center Inc
Practice addresses (Care Compare)
25955 W 327TH St
Paola, KS 66071-4920
Phone (913) 557-9096
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117000183 | KS | Practitioner - Mental Health Counselor | 4183518509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| LCP 073 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Layton Center, Inc. | Current |
Accepting new patients | |
| Elizabeth Layton Center, Inc. | Past |
Accepting new patients |
Locations
2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183
25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCP 073 | KS | Yes |
Addresses
Primary practice location
25955 W 327TH St
Paola, KS 66071-4920
Mailing address
PO Box 677
Ottawa, KS 66067-0677
Phone (913) 557-9096
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200431840A | Medicaid | KS |
Other providers in Paola, KS
- Charles W Armour III
- Auburn Pharmacy Inc
- Auburn Pharmacy Inc
- Avenaim & Associates
- Nicole E Avilez
- Renee Ruth Azzouz
- Christopher A Bagby
- Donald E Banks
- Susan Carol Beeson
- Marissa Anne Bergman
All providers in Paola, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.