NPIMap

Organization Active NPI

Southeast Kansas Mental Health Center

  • Case Management Agency
  • Humboldt, KS
National Provider Identifier
1710028576
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTHEAST KANSAS MENTAL HEALTH CENTER
Practice address
1106 S 9TH St
Humboldt, KS 66748-1934
Phone
(620) 473-2241
Fax
(620) 473-3334
NPI assigned
Feb 12, 2007
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Shana Bennett
Title
Director of Office Operations
Phone
(620) 365-8641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1106 S 9TH St
Humboldt, KS 66748-1934

Mailing address

1106 S 9TH St
Humboldt, KS 66748-1934
Phone (620) 473-2241

Other identifiers 2

IdentifierTypeStateIssuer
100098050DMedicaidKS
006901OtherKSBLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Southeast Kansas Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1710028576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481934",
            "telephone_number": "620-473-2241",
            "fax_number": "620-473-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481934",
            "telephone_number": "620-473-2241",
            "fax_number": "620-473-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DIRECTOR OF OFFICE OPERATIONS",
        "authorized_official_telephone_number": "620-365-8641"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098050D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "006901",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.