A1 Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4190 Issued in KS

Legal business name

A1 COUNSELING, LLC

Doing business as

A1 counseling, LLC

Practice address

1333 N Broadway Ave
Ste E
Wichita, KS 67214-2894

Phone

(316) 201-1676

Fax

(316) 201-1762

NPI assigned

May 12, 2014

Last updated

Jun 4, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

LARRY SMITHAs reported in NPPES

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

Authorized official

Name

Mr. Larry L. Smith, LSCSWNPI 1841455748

Title

Owner

Phone

(316) 617-2987

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A1 counseling, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

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.

• Larry L. Smith, LSCSW LCAC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1841455748
  Medicare reassignment Authorized official
• Tamell C Crawford, LCPC

  • Professional Counselor
  • Wichita, KS
  • NPI 1922557511
  NPD (past)

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1861803074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 N BROADWAY AVE",
            "address_2": "STE E",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142894",
            "telephone_number": "316-201-1676",
            "fax_number": "316-201-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N BROADWAY AVE",
            "address_2": "STE E",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142894",
            "telephone_number": "316-201-1676",
            "fax_number": "316-201-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARRY SMITH",
        "enumeration_date": "2014-05-12",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-617-2987",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200565510B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.