Organization Active NPI

Comprehensive Behavioral Health Center, LLC

  • Community/Behavioral Health Agency
  • Liberal, KS
National Provider Identifier
1902176530
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1316 Issued in KS
Legal business name
COMPREHENSIVE BEHAVIORAL HEALTH CENTER, LLC
Practice address
10 Plaza Dr
Liberal, KS 67901-2743
Phone
(620) 417-5230
Fax
(620) 624-5227
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Maria Lauralynn Noblejas, PSY.D., LPNPI 1851498513
Title
Licensed Clinical Psychology
Phone
(620) 417-5230

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 1316 KS Primary

Addresses

Primary practice location

10 Plaza Dr
Liberal, KS 67901-2743

Mailing address

10 Plaza Dr
Liberal, KS 67901-2743
Phone (620) 417-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000930 KS Part B Supplier - Clinic/Group Practice 8729247549 Receives reassigned benefits from 1 practitioner
Practice locations: Liberal, KS

National Provider Directory

National Provider Directory

Locations

10 Plaza Dr
Liberal, KS 67901
Phone (620) 417-5230

18 Plaza Dr
Liberal, KS 67901
Phone (620) 417-5230

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1902176530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLAZA DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012743",
            "telephone_number": "620-417-5230",
            "fax_number": "620-624-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLAZA DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012743",
            "telephone_number": "620-417-5230",
            "fax_number": "620-624-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "NOBLEJAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LAURALYNN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGY",
        "authorized_official_telephone_number": "620-417-5230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.