Organization Active NPI

Keystone Mental Health, LLC

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1689148520
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KEYSTONE MENTAL HEALTH, LLC
Practice address
5229 SW 7TH St
Topeka, KS 66606-2329
Phone
(785) 581-1801
NPI assigned
Jan 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Ms. Wendy Farley, LSCSWNPI 1386884120
Title
Owner/Clinician
Phone
(785) 640-2740

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5229 SW 7TH St
Topeka, KS 66606-2329

Mailing address

5229 SW 7TH St
Topeka, KS 66606-2329
Phone (785) 581-1801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220218001672 KS Part B Supplier - Clinic/Group Practice 9638563588 Receives reassigned benefits from 5 practitioners
Practice locations: Topeka, KS

National Provider Directory

National Provider Directory

Locations

5229 SW 7th St
Topeka, KS 66606
Phone (785) 581-1801

Practitioners & affiliated clinicians

Practitioners 5

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": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1689148520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062329",
            "telephone_number": "785-581-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062329",
            "telephone_number": "785-581-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "785-640-2740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.