Individual provider Active NPI

Vanessa Kapp, LSCSW, LMAC

  • Clinical Social Worker
  • Garden City, KS
National Provider Identifier
1881276566
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06537 Issued in KS
Practice address
712 Saint John St
Garden City, KS 67846-5128
Phone
(620) 275-1766
NPI assigned
Apr 22, 2021
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 462 KS
Clinical Social Worker 1041C0700X 06537 KS Primary

Addresses

Primary practice location

712 Saint John St
Garden City, KS 67846-5128

Mailing address

712 Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanessa.roybal@genesisfh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002454 KS Practitioner - Clinical Social Worker 5294275517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

712 A Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
462KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Aug 19, 2024 Accepting new patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Aug 19, 2024 Accepting new patients

Locations

1700 Avenue F
Dodge City, KS 67801
Phone (620) 225-6821

712 Saint John St
Garden City, KS 67846
Phone (620) 271-7400

712A Saint John St
Garden City, KS 67846
Phone (620) 275-1766

2330 N Kansas Ave
Liberal, KS 67901
Phone (620) 624-0463

113 S Main St
Ste E
Ulysses, KS 67880
Phone (620) 356-2432

Organizations & group practices 2

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1881276566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SAINT JOHN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465128",
            "telephone_number": "620-275-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SAINT JOHN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465128",
            "telephone_number": "620-275-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPP",
        "first_name": "VANESSA",
        "credential": "LSCSW, LMAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "462",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanessa.roybal@genesisfh.org",
            "affiliation": "N",
            "address_1": "712 Saint John St",
            "city": "Garden City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678465128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.