Individual provider Active NPI

Andrea Hinkle

  • Clinical Psychologist
  • Winfield, KS
National Provider Identifier
1841785201
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01516 Issued in KS
Practice address
22214 D St
Winfield, KS 67156-7376
Phone
(620) 221-9664
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00810 KS
Clinical Psychologist 103TC0700X 01516 KS Primary

Addresses

Primary practice location

22214 D St
Winfield, KS 67156-7376

Mailing address

PO Box 688
Independence, KS 67301-0688

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
I20231211000832 KS Practitioner - Mental Health Counselor 3173972536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Mental Health Center IncGroup PAC ID 7012904071, 22 clinicians

Practice addresses (Care Compare)

3354 Hwy 160
Independence, KS 67301-7841
Phone (620) 331-1748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00810KSMDAddiction (Substance Use Disorder) Counselor
01516KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Four County Mental Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

22214 D St
Winfield, KS 67156
Phone (620) 221-9664

Organizations & group practices 3

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1841785201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673010688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376",
            "telephone_number": "620-221-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "00810",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "01516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.