NPIMap

Organization Active NPI

Mental Health America of South Central Kansas, Inc.

  • Community/Behavioral Health Agency
  • Wichita, KS
National Provider Identifier
1689710568
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL HEALTH AMERICA OF SOUTH CENTRAL KANSAS, INC.
Practice address
555 N Woodlawn St
Suite 3105
Wichita, KS 67208-3645
Phone
(316) 685-1821
Fax
(316) 685-0768
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Chloe Couch
Title
Revenue Cycle Manager
Phone
(316) 685-1821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

555 N Woodlawn St
Suite 3105
Wichita, KS 67208-3645

Mailing address

555 N Woodlawn St
Suite 3105
Wichita, KS 67208-3646
Phone (316) 685-1821

Other practice location 1

9415 E Harry St Ste 800
Wichita, KS 67207-5084
Phone (316) 652-2590

Other identifiers 4

IdentifierTypeStateIssuer
KA2143OtherKSMEDICARE PTAN
30003924420010MedicaidKS
30003924420001MedicaidKS
30003924420003MedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110407000623 KS Part B Supplier - Clinic/Group Practice 1153400197 Receives reassigned benefits from 16 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

805 S Main St
Wichita, KS 67213
Phone (316) 651-1259

Practitioners & affiliated clinicians

Practitioners 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1689710568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "SUITE 3105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083646",
            "telephone_number": "316-685-1821",
            "fax_number": "316-685-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST",
            "address_2": "SUITE 3105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083645",
            "telephone_number": "316-685-1821",
            "fax_number": "316-685-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9415 E Harry St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672075084",
            "country_code": "US",
            "telephone_number": "316-652-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTH AMERICA OF SOUTH CENTRAL KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "316-685-1821"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2143",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003924420010",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003924420001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003924420003",
            "state": "KS"
        }
    ],
    "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 Jul 23, 2024; 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.