Mosaic Mental Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 2

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

• Tara Galyardt

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1255857355
  Medicare reassignment Care Compare group
• Jenni Lee Harshbarger, PH.D.

  • Clinical Psychologist
  • Wichita, KS
  • NPI 1427385350
  Medicare reassignment Care Compare group

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": []
}

• Courtney Lane Morse, DPT
• Megan Gene Morse, PHARMD
• Rami Mortada, MD
• Sydney Kersten Mortensen, LPC
• Zoey Morton, MLS
• Lindsey Moser, PHARMD
• Scott E Moser, M.D.
• Alyx Moses
• Abigail Christine Moshea, MD
• Whitney Mosier

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wichita, KS
• Providers in Wichita, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• 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.

Verify at the official NPI Registry.