Jim Paulus
Individual provider Active NPI Mental Health Counselor · Hillsboro, KS
NPI 1811766686 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1811766686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 315 S Lincoln St
Hillsboro, KS 67063-1714 - Phone
- (620) 869-9986
- NPI assigned
- Dec 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Kansas Counseling LLC
Practice addresses (Care Compare)
315 S Lincoln St
Hillsboro, KS 67063-1714
Phone (620) 869-9986
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240924001373 | KS | Practitioner - Marriage and Family Therapist | 0042751570 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Kansas Counseling LLC | Current |
Accepting new patients |
Locations
114 Commerce Dr
Hesston, KS 67062
Phone (620) 869-9986
315 S Lincoln St
Hillsboro, KS 67063
Phone 6208699986 ext. 0
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
315 S Lincoln St
Hillsboro, KS 67063-1714
Mailing address
211 West Grand
Hillsboro, KS 67063
Phone (620) 877-7179
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All providers in Hillsboro, 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 Dec 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.