Individual provider Active NPI

Charles C Worthey, LPC

  • Professional Counselor
  • Ottawa, KS
National Provider Identifier
1750139556
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04659 Issued in KS
Practice address
2537 Eisenhower Rd
Ottawa, KS 66067-9482
Phone
(785) 242-3780
Fax
(785) 242-6397
NPI assigned
May 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 04659 KS Primary

Addresses

Primary practice location

2537 Eisenhower Rd
Ottawa, KS 66067-9482

Mailing address

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

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
I20240530002234 KS Practitioner - Mental Health Counselor 3577905934 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
Elizabeth Layton Center IncGroup PAC ID 1557255940, 25 clinicians

Practice addresses (Care Compare)

2537 Eisenhower Rd
Ottawa, KS 66067-9482
Phone (785) 242-3780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04659KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Worthey Counseling LLC Professional Current Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince May 8, 2024 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince May 8, 2024 Accepting new patients

Locations

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

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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1750139556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670677",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 EISENHOWER RD",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679482",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEY",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.