NPIMap

Organization Active NPI

Inspire Mental Health Services LLC

  • Clinical Social Worker
  • Johnson, KS
National Provider Identifier
1770065716
Registry record updated Sep 6, 2018
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4766 Issued in KS
Legal business name
INSPIRE MENTAL HEALTH SERVICES LLC
Practice address
613 W. North Ave
Johnson, KS 67855637
Phone
(620) 952-1738
Fax
(620) 492-3316
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Nayive Ellis, LSCSW
Title
Social Worker
Phone
(620) 952-1738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4766 KS Primary

Addresses

Primary practice location

613 W. North Ave
Johnson, KS 67855637

Mailing address

PO Box 637
Johnson, KS 67855-0637
Phone (620) 952-1738

Other identifiers 1

IdentifierTypeStateIssuer
201119110BMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1770065716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550637",
            "telephone_number": "620-952-1738",
            "fax_number": "620-492-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W. NORTH AVE",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "67855637",
            "telephone_number": "620-952-1738",
            "fax_number": "620-492-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "NAYIVE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "620-952-1738",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201119110B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.