Connie Sue Konzem

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

809 S Patton Rd
Great Bend, KS 67530-4620

Phone

(620) 796-2206

Fax

(866) 288-1782

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avenues for Change

  • Mental Health Counselor
  • Great Bend, KS
  • NPI 1114630076
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1750988010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 POLK ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675307517",
            "telephone_number": "620-282-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S PATTON RD",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304620",
            "telephone_number": "620-796-2206",
            "fax_number": "866-288-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONZEM",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joslyn Keener
• Christie Lynn Kelly, T-LPC
• Lindsay Kay Klepper, LPC
• Jane E. Kohrs, PH.D.
• Yashwanth Reddy Komerelli, PHARM.D., MPH
• Shelly Kay Koontz
• Christopher Joseph Koster, MD
• Kathleen A Kottas, ARNP
• Leah Kraemer
• Jessica Kraisinger

• Addiction (Substance Use Disorder) Counselor in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.