Raymona L Folsom, LPC

Individual provider Active NPI Professional Counselor · Ottawa, KS

NPI 1700219946 · NPPES record last updated Oct 28, 2024

Key facts

NPI
1700219946
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
03625 (KS)
Practice address
2537 Eisenhower Rd
Ottawa, KS 66067-9482
Phone
(785) 242-3780
Fax
(785) 242-6397
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231130001462 KS Practitioner - Mental Health Counselor 1951734672 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
03625KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Layton Center, Inc. Current
since Feb 8, 2023
Accepting new patients
Elizabeth Layton Center, Inc. Current
since Jan 1, 2024
Accepting new patients

Locations

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 03625 KS Yes

Addresses

Primary practice location

2537 Eisenhower Rd
Ottawa, KS 66067-9482

Mailing address

PO Box 677
Ottawa, KS 66067-0677
Phone (785) 242-3780

Other practice location 1

702 Commercial St Ste 2-F
Emporia, KS 66801-3091
Phone (620) 794-4225

Other providers in Ottawa, KS

All providers in Ottawa, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.