Organization Active NPI

Nuevo Amanecer LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
National Provider Identifier
1659997682
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NUEVO AMANECER LLC
Practice address
2312 S Meridian Ave Ste 102
Wichita, KS 67213-1912
Phone
(316) 807-5055
NPI assigned
Jun 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Carmen Maria Aguilar, LSCSWNPI 1942597505
Title
Owner
Phone
(316) 807-5055

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 Primary

Addresses

Primary practice location

2312 S Meridian Ave Ste 102
Wichita, KS 67213-1912

Mailing address

2750 S Glenn Ave
Wichita, KS 67217-1843
Phone (316) 807-5055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211213001963 KS Part B Supplier - Clinic/Group Practice 6507256203 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

2312 S Meridian Ave
Ste 102
Wichita, KS 67213
Phone (316) 807-5055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1659997682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S GLENN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672171843",
            "telephone_number": "316-807-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S MERIDIAN AVE STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672131912",
            "telephone_number": "316-807-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVO AMANECER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-807-5055",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 8, 2021; 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.