Michael Smalley

Individual provider Active NPI Case Manager/Care Coordinator · Andover, KS

NPI 1831591676 · NPPES record last updated Sep 24, 2014

Key facts

NPI
1831591676
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
217 W Ira CT
Andover, KS 67002-9469
Phone
(316) 733-5047
Fax
(316) 733-5060
NPI assigned
Sep 24, 2014
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Mental Health Counseling Center, Inc. Past Accepting new patients
South Central Mental Health Counseling Center, Inc. Past
since Jan 4, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

217 W Ira CT
Andover, KS 67002-9469

Mailing address

520 E Augusta Ave
Augusta, KS 67010-2100
Phone (316) 775-5491

Other providers in Andover, KS

All providers in Andover, KS · Case Manager/Care Coordinator in Kansas

Sources for this page

Verify at the official NPI Registry.