Adolescent Specialists of Kansas, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

619 Issued in KS

Legal business name

ADOLESCENT SPECIALISTS OF KANSAS, INC.

Practice address

650 North Carriage Parkway
Suite 135
Wichita, KS 67208-4514

Phone

(316) 685-4700

Fax

(316) 685-8247

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anne M Dolan

Title

Practice Manager

Phone

(316) 685-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861585473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NORTH CARRIAGE PARKWAY",
            "address_2": "SUITE 135",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084514",
            "telephone_number": "316-685-4700",
            "fax_number": "316-685-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NORTH CARRIAGE PARKWAY",
            "address_2": "SUITE 135",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084514",
            "telephone_number": "316-685-4700",
            "fax_number": "316-685-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT SPECIALISTS OF KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "316-685-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "116080",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• 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.