Organization Active NPI

Mindclub Behavioral Health Kansas PA

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1841145570
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDCLUB BEHAVIORAL HEALTH KANSAS PA
Practice address
601 E Douglas Avenue
Wichita, KS 67218
Phone
(615) 390-2865
NPI assigned
Feb 27, 2026
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Kathy Richardson
Title
VP
Phone
(615) 390-2865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

601 E Douglas Avenue
Wichita, KS 67218

Mailing address

106 Mission CT Ste 201a
Franklin, TN 37067-6441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1841145570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MISSION CT STE 201A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E DOUGLAS AVENUE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "615-390-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCLUB BEHAVIORAL HEALTH KANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-390-2865"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.