Inspiring Change Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INSPIRING CHANGE COUNSELING SERVICES, LLC

Practice address

1511 E Fulton Ter Ste 2
Garden City, KS 67846-6165

Phone

(620) 287-8200

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Patrick, LSCSWNPI 1134179864

Title

Lscsw

Phone

(620) 287-8200

Specialties & licenses 1

Addresses

Other names 1

• Inspiring Change Counseling Services, LLC Other name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura K Patrick, LSCSW

  • Clinical Social Worker
  • Garden City, KS
  • NPI 1134179864
  Medicare reassignment NPD Authorized official
• Shivanna V Kumar, M.D.

  • Psychiatry Physician
  • Garden City, KS
  • NPI 1326147992
  NPD (past)
• Michael J Southern, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Garden City, KS
  • NPI 1265622864
  NPD (past)
• Ryan Veesart, LSCSW

  • Clinical Social Worker
  • Lakin, KS
  • NPI 1093809436
  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1821567934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E FULTON TER STE 2",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466165",
            "telephone_number": "620-287-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 E FULTON TER STE 2",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466165",
            "telephone_number": "620-287-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRING CHANGE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LSCSW",
        "authorized_official_telephone_number": "620-287-8200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspiring Change Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Huber, LMSW
• Misty Humphrey, LCPC
• Denise Marie Hundertmark, LSCSW
• Matthew Ihler
• In His Image Christian Counseling, LLC
• Integrate Family Health LLC
• Kayelani Irvin
• Osama M Ismael, M.D.
• Jumailiana Iwan
• Michael D Jackson, M.D.

• Clinical Social Worker in Garden City, KS
• Providers in Garden City, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.