Individual provider Active NPI

Joyce Ann Kinderknecht, LAC, SAP

  • Addiction (Substance Use Disorder) Counselor
  • Hays, KS
National Provider Identifier
1881260941
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
577 Issued in KS
Practice address
205 E. 7TH St, Ste 126
Hays, KS 67601
Phone
(785) 639-1081
Fax
(785) 628-0677
NPI assigned
May 31, 2021
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 577 KS Primary

Addresses

Primary practice location

205 E. 7TH St, Ste 126
Hays, KS 67601

Mailing address

205 E 7TH St, Ste 126
Hays, KS 67601
Phone (785) 639-1081

Other practice location 1

485 W 4th St
Colby, KS 67701-2139
Phone (785) 639-1081

Other practice location 2

785 W Webster St
Colby, KS 67701-2948
Phone (785) 639-1081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
577KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment, Information and Counseling, LLC CurrentSince Mar 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1881260941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 7TH ST, STE 126",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-639-1081",
            "fax_number": "785-621-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E. 7TH ST, STE 126",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-639-1081",
            "fax_number": "785-628-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Colby",
            "state": "KS",
            "postal_code": "677012139",
            "country_code": "US",
            "telephone_number": "785-639-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 W Webster St",
            "address_purpose": "LOCATION",
            "city": "Colby",
            "state": "KS",
            "postal_code": "677012948",
            "country_code": "US",
            "telephone_number": "785-639-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDERKNECHT",
        "first_name": "JOYCE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LAC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.