Active NPI
Betty K. Skinner, Lscsw, Inc.
- Community/Behavioral Health Agency
- Wichita, KS
National Provider Identifier
1700076296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Betty K. Skinner, LSCSW, ACSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200003060/C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050125000990 | KS | Part B Supplier - Clinic/Group Practice | 1052361227 |
Receives reassigned benefits from 1 practitioner Practice locations: Wichita, KS |
National Provider Directory
National Provider DirectoryLocations
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.