Organization Active NPI

Ironwoods Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Leawood, KS
National Provider Identifier
1891391553
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IRONWOODS BEHAVIORAL HEALTH LLC
Practice address
11709 Roe Ave Ste D243
Leawood, KS 66211-2605
Phone
(931) 689-8408
NPI assigned
Dec 8, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Thomas LetvinchuckNPI 1588781611
Title
Owner
Phone
(913) 689-8408

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11709 Roe Ave Ste D243
Leawood, KS 66211-2605

Mailing address

11709 Roe Ave Ste D243
Leawood, KS 66211-2605

National Provider Directory

National Provider Directory

Locations

11709 Roe Ave
Ste D243
Leawood, KS 66211
Phone (913) 689-8408

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1891391553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 ROE AVE STE D243",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 ROE AVE STE D243",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112605",
            "telephone_number": "931-689-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOODS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "LETVINCHUCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-689-8408"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.