Individual provider Active NPI

Robert J Funcheon, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1912288143
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4501 Issued in KS
Practice address
1855 N Webb Rd
Wichita, KS 67206-3413
Phone
(376) 636-2888
Fax
(316) 636-2666
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4501 KS Primary

Addresses

Primary practice location

1855 N Webb Rd
Wichita, KS 67206-3413

Mailing address

6020 Flagstaff St
Bel Aire, KS 67220-1863
Phone (316) 841-3760

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://afcwichita.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
78.13
Improvement activities
40
Cost
72.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4501KSMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Family Counselors LLC CurrentSince Dec 1, 2015 Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

1855 N Webb Rd
Wichita, KS 67206
Phone (316) 634-0060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1912288143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 FLAGSTAFF ST",
            "city": "BEL AIRE",
            "state": "KS",
            "postal_code": "672201863",
            "telephone_number": "316-841-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "376-636-2888",
            "fax_number": "316-636-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNCHEON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://afcwichita.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1855 N Webb Rd",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.