Independence Inc. Pass Program

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INDEPENDENCE INC. PASS PROGRAM

Practice address

2001 Haskell Ave
Lawrence, KS 66046

Phone

(785) 841-0333

Fax

(785) 841-1094

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jill Alane Enyart

Title

Executive Director

Phone

(785) 841-0333

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1679787352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HASKELL AVE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66046",
            "telephone_number": "785-841-0333",
            "fax_number": "785-841-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HASKELL AVE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66046",
            "telephone_number": "785-841-0333",
            "fax_number": "785-841-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE INC. PASS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "ENYART",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ALANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-841-0333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100077780B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100077780C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200462070A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008680B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200462070B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200462070C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Imber, MD
• Lauren E Imel, APRN
• In Bloom Counseling
• In Bloom Therapy
• Independence Inc
• Walter N Ingram, M.D.
• Rachel R Inloes, MS, RD, LD
• Integrated Clinical Services, LLC
• Integrative Therapy Services, LLC
• Interpersonal Advanced Treatment

• All providers in Lawrence, KS
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.