NPIMap

Organization Active NPI

Professional Treatment Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lawrence, KS
National Provider Identifier
1710008461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
668 Issued in KS
Legal business name
PROFESSIONAL TREATMENT SERVICES, LLC
Practice address
3205 Clinton Parkway CT
Lawrence, KS 66047-2627
Phone
(785) 249-8477
Fax
(785) 235-2246
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Duane Olberding, LSCSW
Title
Clinical Director
Phone
(785) 249-8477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 668 KS Primary

Addresses

Primary practice location

3205 Clinton Parkway CT
Lawrence, KS 66047-2627

Mailing address

3205 Clinton Parkway CT
Lawrence, KS 66047-2627
Phone (785) 249-8477

Other identifiers 1

IdentifierTypeStateIssuer
668OtherKSSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

3205 Clinton Parkway Ct
Lawrence, KS 66047
Phone (785) 843-5483

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710008461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CLINTON PARKWAY CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472627",
            "telephone_number": "785-249-8477",
            "fax_number": "785-235-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 CLINTON PARKWAY CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472627",
            "telephone_number": "785-249-8477",
            "fax_number": "785-235-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLBERDING",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "785-249-8477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "668",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.