Active NPI
Mosaic Mental Wellness LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MOSAIC MENTAL WELLNESS LLC
- Practice address
- 100 S Main St Ste 505
Wichita, KS 67202-3738 - Phone
- (316) 688-8390
- Fax
- (316) 867-1718
- NPI assigned
- Jul 19, 2019
- Last updated
- Dec 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josephine Oldham, LSCSW
- Title
- Co-Owner
- Phone
- (316) 685-8390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
100 S Main St Ste 505
Wichita, KS 67202-3738
Mailing address
100 S Main St Ste 505
Wichita, KS 67202-3738
Phone (316) 688-8390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 S Main St
Ste 505
Wichita, KS 67202
Phone (316) 685-8390
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1255857355
-
- Clinical Psychologist
- Wichita, KS
- NPI 1427385350
-
- Clinical Social Worker
- Wichita, KS
- NPI 1194137976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1891348710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MAIN ST STE 505",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023738",
"telephone_number": "316-688-8390",
"fax_number": "316-867-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MAIN ST STE 505",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023738",
"telephone_number": "316-688-8390",
"fax_number": "316-867-1718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC MENTAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-19",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "OLDHAM",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "316-685-8390",
"authorized_official_credential": "LSCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.