National Mentor Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0056897-003 Issued in KS

Legal business name

NATIONAL MENTOR SERVICES LLC

Practice address

1503 E Fulton Ter
Garden City, KS 67846-6165

Phone

(620) 272-0499

Fax

(620) 272-0599

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Doris Davila

Title

Executive Director

Phone

(512) 326-8866

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kansas MENTOR Doing business as

Tax ID family

National Mentor Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• National Mentor Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Olivette, MO
  • NPI 1194146340
  NPD tax ID
• National Mentor Services, LLC

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1235775248
  NPD tax ID
• National Mentor Services, LLC

  • Case Management Agency
  • Saint Louis, MO
  • NPI 1427246669
  NPD tax ID

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1841496593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W WILLIAM CANNON DR",
            "address_2": "#500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455468",
            "telephone_number": "512-326-8866",
            "fax_number": "512-326-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 E FULTON TER",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466165",
            "telephone_number": "620-272-0499",
            "fax_number": "620-272-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-326-8866"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": "0056897-003",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "0056897-003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT NUMBER",
            "identifier": "07953",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ann Mueller, MS, RD, LMNT, LD
• Tammy D Murillo, LSCSW
• Wendy B Murray, LMSW
• Margaret F Myers, LSCSW
• Troy K Nanninga, LPC
• National Vision, Inc.
• Katherine Nicole Navarro, PT, DPT
• Angie Marie Nelson, FNP-BC
• Jenifer Marie Nemechek
• Joao Pedro Nery, OTR/L

• Case Management Agency in Garden City, KS
• Providers in Garden City, KS by specialty
• Case Management Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.