Organization Active NPI

Betty K. Skinner, Lscsw, Inc.

  • Community/Behavioral Health Agency
  • Wichita, KS
National Provider Identifier
1700076296
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BETTY K. SKINNER, LSCSW, INC.
Practice address
2135 N Sunridge St
Wichita, KS 67235-1503
Phone
(316) 201-1080
Fax
(316) 201-1085
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Ms. Betty K. Skinner, LSCSW, ACSWNPI 1033111281
Title
Director
Phone
(316) 201-1080

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
Community/Behavioral Health Agency 251S00000X KS Primary

Addresses

Primary practice location

2135 N Sunridge St
Wichita, KS 67235-1503

Mailing address

2135 N Sunridge St
Wichita, KS 67235-1503
Phone (316) 201-1080

Other identifiers 1

IdentifierTypeStateIssuer
200003060/CMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000990 KS Part B Supplier - Clinic/Group Practice 1052361227 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

10300 W Maple St
#302
Wichita, KS 67209
Phone (316) 721-2349

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1700076296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 N SUNRIDGE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351503",
            "telephone_number": "316-201-1080",
            "fax_number": "316-201-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 N SUNRIDGE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351503",
            "telephone_number": "316-201-1080",
            "fax_number": "316-201-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY K. SKINNER, LSCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "316-201-1080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003060/C",
            "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 Aug 6, 2013; 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.