Individual provider Active NPI

Kailey Patton-Deters

  • Marriage & Family Therapist
  • Seneca, KS
National Provider Identifier
1659718682
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2505 Issued in KS
Practice address
416 Main St
Seneca, KS 66538-1926
Phone
(785) 491-7342
Fax
(785) 203-8529
NPI assigned
May 31, 2013
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2505 KS Primary

Addresses

Primary practice location

416 Main St
Seneca, KS 66538-1926

Mailing address

416 Main St
Seneca, KS 66538-1926
Phone (785) 491-7342

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
I20240221000813 KS Practitioner - Marriage and Family Therapist 6406290139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighter Dawn Mental HealthGroup PAC ID 5597109223, 2 clinicians

Practice addresses (Care Compare)

517 Main St
Seneca, KS 66538-1927
Phone (785) 491-7342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2505KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Dawn Mental Health Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

416 Main St
Seneca, KS 66538
Phone (785) 491-7342

517 Main St
Seneca, KS 66538
Phone (785) 491-7342

Organizations & group practices 1

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1659718682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MAIN ST",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665381926",
            "telephone_number": "785-491-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MAIN ST",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665381926",
            "telephone_number": "785-491-7342",
            "fax_number": "785-203-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON-DETERS",
        "first_name": "KAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, KS

Sources for this page

Verify at the official NPI Registry.