Individual provider Active NPI

Kellie Christine Drinkwater, T-LPC

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1780866277
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4510 W Central Ave
Wichita, KS 67212-2203
Phone
(316) 440-3705
NPI assigned
Nov 27, 2007
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 KS Primary

Addresses

Primary practice location

4510 W Central Ave
Wichita, KS 67212-2203

Mailing address

10206 W Lydia Cir
Wichita, KS 67209-3072
Phone (316) 469-9452

Other names 1

  • Kellie Christine Brunsdon Former name

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
I20240116001945 KS Practitioner - Mental Health Counselor 9638521685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SedgwickGroup PAC ID 2961304779, 25 clinicians

Practice addresses (Care Compare)

3600 E Harry St
Comcare of Sedgwick County
Wichita, KS 67218-3713
Phone (316) 858-0333

4035 E Harry St
Comcare of Sedgwick County
Wichita, KS 67218-3724
Phone (316) 660-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick Current Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

1720 E Morris St
Ste 101
Wichita, KS 67211
Phone (316) 660-1900

1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675

271 W 3rd St N
Ste 600
Wichita, KS 67202

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1780866277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 W LYDIA CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093072",
            "telephone_number": "316-469-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122203",
            "telephone_number": "316-440-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRINKWATER",
        "first_name": "KELLIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "T-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "BRUNSDON",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.