Individual provider Active NPI

Jayla Nicole Whitcomb

  • Professional Counselor
  • Andover, KS
National Provider Identifier
1740090018
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04934 Issued in KS
Practice address
221 E King St
Andover, KS 67002-8964
Phone
(316) 733-5047
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04934 KS Primary

Addresses

Primary practice location

221 E King St
Andover, KS 67002-8964

Mailing address

520 E Augusta Ave
Augusta, KS 67010-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414002440 KS Practitioner - Mental Health Counselor 0042734816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Mental Health Counseling Center, IncGroup PAC ID 3375437973, 27 clinicians

Practice addresses (Care Compare)

2821 Brookside CT
Augusta, KS 67010-2433
Phone (316) 425-0073

524 N Main St
El Dorado, KS 67042-2024
Phone (316) 321-6036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04934KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Mental Health Counseling Center, Inc. CurrentSince Jan 24, 2025 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Jan 12, 2025 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

221 E King St
Andover, KS 67002
Phone (316) 733-5047

2821 Brookside Ct
Augusta, KS 67010
Phone (316) 425-0073

520 E Augusta Ave
Augusta, KS 67010
Phone (316) 322-0253

430 N Walnut St
Augusta, KS 67010
Phone (316) 775-5491

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1740090018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E AUGUSTA AVE",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670102100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E KING ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028964",
            "telephone_number": "316-733-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "JAYLA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.