NPIMap

Organization Active NPI

South Central Mental Health Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • El Dorado, KS
National Provider Identifier
1891561858
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH CENTRAL MENTAL HEALTH COUNSELING CENTER, INC.
Practice address
524 N Main St
El Dorado, KS 67042-2024
Phone
(316) 321-6036
Fax
(316) 321-6336
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Regina Corcimiglia
Title
HR Specialist
Phone
(316) 775-5491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

524 N Main St
El Dorado, KS 67042-2024

Mailing address

430 N Walnut St
Augusta, KS 67010-1036
Phone (316) 775-5491

Other practice location 1

2821 Brookside Ct
Augusta, KS 67010-2433
Phone (316) 425-0073

Other practice location 2

221 E King St
Andover, KS 67002-8964
Phone (316) 733-5047

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2303508South Central Mental Health Counseling Center524 N Main St, El Dorado, KS 67042Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
South Central Mental Health Counseling Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

221 E King St
Andover, KS 67002
Phone (316) 733-5047

9333 E 21st St N
Ste 101
Wichita, KS 67206

Practitioners & affiliated clinicians

Practitioners 112

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.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1891561858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N WALNUT ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101036",
            "telephone_number": "316-775-5491",
            "fax_number": "316-775-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N MAIN ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422024",
            "telephone_number": "316-321-6036",
            "fax_number": "316-321-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Brookside Ct",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "KS",
            "postal_code": "670102433",
            "country_code": "US",
            "telephone_number": "316-425-0073",
            "fax_number": "316-260-7909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 E King St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670028964",
            "country_code": "US",
            "telephone_number": "316-733-5047",
            "fax_number": "316-733-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CENTRAL MENTAL HEALTH COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "CORCIMIGLIA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "HR SPECIALIST",
        "authorized_official_telephone_number": "316-775-5491"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.