Organization Active NPI

Mental Health Collective, LLC

  • Psychiatry Physician
  • Lawrence, KS
National Provider Identifier
1871909424
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0423223 Issued in KS
Legal business name
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
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0423223 KS Primary

Addresses

Primary practice location

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

Mailing address

4321 W 6TH St Ste B
Lawrence, KS 66049-3607
Phone (785) 841-5555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwhipple@acumeninstitute.org Direct

National Provider Directory

National Provider Directory

Locations

4321 W 6th St
Ste B
Lawrence, KS 66049
Phone (785) 841-5555

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1871909424",
    "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": "2014-07-03",
        "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": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0423223",
            "primary": true
        }
    ],
    "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"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • 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.