Individual provider Active NPI

Angela Nichole Holoubek, LSCSW, RPT

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1922031129
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2485 Issued in KS
Practice address
Lets Talk Therapy and Supervision Inc
2458 W Newell St
Wichita, KS 67203-5108
Phone
(316) 691-7201
Fax
(316) 847-7082
NPI assigned
Jul 9, 2006
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 2485 KS Primary

Addresses

Primary practice location

Lets Talk Therapy and Supervision Inc
2458 W Newell St
Wichita, KS 67203-5108

Mailing address

Lets Talk Therapy and Supervision Inc
2458 W Newell St
Wichita, KS 67203-5108
Phone (316) 691-7201

Other identifiers 1

IdentifierTypeStateIssuer
200438180GMedicaidKS

Other names 1

  • Angela Greer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000701 KS Practitioner - Clinical Social Worker 6406809011 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2458 W Newell St
Wichita, KS 67203-5108
Phone (316) 804-5135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2485KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Talk Therapy and Supervision Inc Clinical CurrentSince Oct 30, 2022 Accepting new patients
Angela N. Holoubek, Lscsw Clinical PastSince Dec 1, 2014 Accepting new patients
Cowley County Mental Health Center Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1922031129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LETS TALK THERAPY AND SUPERVISION INC",
            "address_2": "2458 W NEWELL ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035108",
            "telephone_number": "316-691-7201",
            "fax_number": "316-847-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LETS TALK THERAPY AND SUPERVISION INC",
            "address_2": "2458 W NEWELL ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035108",
            "telephone_number": "316-691-7201",
            "fax_number": "316-847-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLOUBEK",
        "first_name": "ANGELA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "LSCSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200438180G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GREER",
            "credential": "LSCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.