Ellie Kobashigawa

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5382223051 Issued in KS

Practice address

500 Limit St
Leavenworth, KS 66048-4435

Phone

(913) 682-5118

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Guidance Center, IncGroup PAC ID 6507859063, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Guidance Center, Inc

  • Mental Health Counselor
  • Leavenworth, KS
  • NPI 1841262839

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD (past)
• The Guidance Center, Inc

  • Community/Behavioral Health Agency
  • Leavenworth, KS
  • NPI 1912697186
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1710670294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LIMIT ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LIMIT ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484435",
            "telephone_number": "913-682-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBASHIGAWA",
        "first_name": "ELLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "5382223051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E. Kittle Jr., DDS
• Hilary Klein, CNMT, NMTCB(CT)
• Lori Klepper
• Ann Klockau
• Jordan Rachelle Kloepper, DC
• Breanna Koehler
• Laura H Kostner, RD
• Isabella R Kovacs
• Chester B. Kozak II, PA-C
• Jayme L Kral, PT

• Psychiatric/Mental Health Nurse Practitioner in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.