NPIMap

Organization Active NPI

Chautauqua Counseling Cener, Inc.

  • Community/Behavioral Health Agency
  • Mission, KS
National Provider Identifier
1841402203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
530 Issued in KS
Legal business name
CHAUTAUQUA COUNSELING CENER, INC.
Practice address
5960 Dearborn St
Suite 1
Mission, KS 66202-3316
Phone
(913) 362-6614
Fax
(913) 362-6614
NPI assigned
May 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas D Holtgrewe, LCPCNPI 1477883205
Title
Program Director
Phone
(913) 645-6652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 530 KS Primary

Addresses

Primary practice location

5960 Dearborn St
Suite 1
Mission, KS 66202-3316

Mailing address

5960 Dearborn St
Suite 1
Mission, KS 66202-3316
Phone (913) 362-6614

Other identifiers 1

IdentifierTypeStateIssuer
32788013OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

5960 Dearborn St
Ste 1
Mission, KS 66202
Phone (913) 362-6614

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841402203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 DEARBORN ST",
            "address_2": "SUITE 1",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023316",
            "telephone_number": "913-362-6614",
            "fax_number": "913-362-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 DEARBORN ST",
            "address_2": "SUITE 1",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023316",
            "telephone_number": "913-362-6614",
            "fax_number": "913-362-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA COUNSELING CENER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTGREWE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "913-645-6652",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32788013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.