David W Anderson, LCPC – Mental Health Counselor

Key facts

NPI: 1780915652
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 2288 (KS)
Practice address: 6700 W Central Ave
Suite 106
Wichita, KS 67212-6334
Phone: (316) 945-5200
Fax: (316) 945-5549
NPI assigned: Jan 16, 2010
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Wichita Ocd Center Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Wichita, KS · NPI 1003564949

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2288	KS	MD	Audiologist

Practice roles

Organization	Specialty	Status	New patients
Wichita Ocd Center Inc		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	2288	KS	Yes

Addresses

Primary practice location

6700 W Central Ave
Suite 106
Wichita, KS 67212-6334

Mailing address

6700 W Central Ave
Suite 106
Wichita, KS 67212-6334
Phone (316) 945-5200

Other identifiers

Identifier	Type	State	Issuer
200633810C	Medicaid	KS

Other providers in Wichita, KS

All providers in Wichita, KS · Mental Health Counselor in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.