Individual provider Active NPI

Andrew Jamison, LPC

  • Counselor
  • Wichita, KS
National Provider Identifier
1831732940
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3446 Issued in KS
Practice address
700 N Market St Ste a
Wichita, KS 67214-3530
Phone
(316) 201-6047
NPI assigned
Oct 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 3446 KS Primary

Addresses

Primary practice location

700 N Market St Ste a
Wichita, KS 67214-3530

Mailing address

2977 N Woodridge CT
Wichita, KS 67226-6403
Phone (316) 371-5813

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simplepractice.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410001637 KS Practitioner - Mental Health Counselor 9931547932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick CurrentSince Mar 5, 2024 Accepting new patients
County of Sedgwick Multi-Specialty Current Accepting new patients

Locations

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

271 W 3rd St N
Ste 600
Wichita, KS 67202

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.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1831732940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 N WOODRIDGE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672266403",
            "telephone_number": "316-371-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MARKET ST STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143530",
            "telephone_number": "316-201-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "ANDREW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "KS",
            "license": "3446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "address_1": "700 N Market St Ste A",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.