NPIMap

Organization Active NPI

Sequel of Kansas, LLC

Doing business as Lakeside Academy of Kansas

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Goddard, KS
National Provider Identifier
1811327950
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
SEQUEL OF KANSAS, LLC
Doing business as
Lakeside Academy of Kansas
Practice address
24401 W Macarthur Rd
Goddard, KS 67052-8713
Phone
(316) 794-2760
Fax
(316) 794-2773
NPI assigned
Nov 26, 2013
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Mary Caudle
Title
Senior Director of Patient Accounts
Phone
(256) 880-3339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0063040-008 KS
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

24401 W Macarthur Rd
Goddard, KS 67052-8713

Mailing address

24401 W Macarthur Rd
P.O. Box 429
Goddard, KS 67052-8713
Phone (316) 794-2760

Other names 1

  • Lakeside Academy of Kansas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Academy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1811327950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 W MACARTHUR RD",
            "address_2": "P.O. BOX 429",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528713",
            "telephone_number": "316-794-2760",
            "fax_number": "316-794-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 W MACARTHUR RD",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528713",
            "telephone_number": "316-794-2760",
            "fax_number": "316-794-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "CAUDLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "256-880-3339"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "KS",
            "license": "0063040-008",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Academy of Kansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Academy of Kansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goddard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.