Mental Health Collective, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-23223 AND 0986 Issued in KS

Legal business name

MENTAL HEALTH COLLECTIVE, LLC

Doing business as

Mental Health Collective, LLC

Practice address

4321 W 6TH St Ste B
Lawrence, KS 66049-3607

Phone

(785) 841-5555

Fax

(785) 841-8781

NPI assigned

Apr 13, 2007

Last updated

Apr 27, 2021By 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

Dr. John Raymond Whipple, MDNPI 1740215425

Title

Owner

Phone

(785) 841-5555

Specialties & licenses 2

Addresses

Other names 1

• Mental Health Collective, LLC Doing business as

Electronic endpoints 2

Locations

Practitioners 5

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.

• John Raymond Whipple, M. D.

  • Psychiatry Physician
  • Lawrence, KS
  • NPI 1740215425
  Authorized official Same address or phone
• Scott C. Stacy, PSYD

  • Clinical Psychologist
  • Lawrence, KS
  • NPI 1356406060
  NPD
• Peter Graham, PHD CLINICAL PSYCH

  • Group Psychotherapy Psychologist
  • Lawrence, KS
  • NPI 1215092721
  NPD (past)
• William Spencer Payne, PHD

  • Clinical Psychologist
  • Lawrence, KS
  • NPI 1700869351
  NPD (past)
• Monica Soderberg, LSCSW

  • Specialist
  • Lawrence, KS
  • NPI 1588700066
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1871718221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 W 6TH ST STE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493607",
            "telephone_number": "785-841-5555",
            "fax_number": "785-841-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 W 6TH ST STE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493607",
            "telephone_number": "785-841-5555",
            "fax_number": "785-841-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-841-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-23223 AND 0986",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhipple@acumeninstitute.org",
            "affiliation": "N",
            "endpointDescription": "Office location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4321 W 6th St Ste B",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660493607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhipple@acumeninstitute.org",
            "affiliation": "N",
            "endpointDescription": "Office Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4321 W 6th St Ste B",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660493607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mental Health Collective, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Meinhart
• Emily Alton Meiring
• Isabella Meisel
• Janice Melland
• Genaro Mendez III, DPT
• Mental Health Collective, LLC
• Mentor Abi, LLC (Neurorestorative Kansas)
• Clinton Gary Merkel, PHARMD
• Jacob Mertins, OTD
• Melanie Messick, MS, LPC

• Specialist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.