Active NPI
Changing Times 2020 Vision LLC
- Marriage & Family Therapist
- Manhattan, KS
National Provider Identifier
1922648021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- CHANGING TIMES 2020 VISION LLC
- Doing business as
- Changing Times
- Practice address
- 2601 Anderson Ave Ste 202
Manhattan, KS 66502-2809 - Phone
- (785) 422-3049
- Fax
- (785) 214-5018
- NPI assigned
- Jan 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerry Clemetson
- Title
- Director of Billing
- Phone
- (913) 475-7713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2601 Anderson Ave Ste 202
Manhattan, KS 66502-2809
Mailing address
2601 Anderson Ave Ste 207
Manhattan, KS 66502-2809
Phone (785) 422-3049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-4065311 | Other | BEHAVIORAL HEALTH |
Other names 1
- Changing Times
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RRS | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2601 Anderson Ave
Ste 202
Manhattan, KS 66502
Phone (316) 691-8504
2601 Anderson Ave
Ste 207
Manhattan, KS 66502
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Manhattan, KS
- NPI 1316192727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1922648021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 ANDERSON AVE STE 207",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022809",
"telephone_number": "785-422-3049",
"fax_number": "785-214-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 ANDERSON AVE STE 202",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022809",
"telephone_number": "785-422-3049",
"fax_number": "785-214-5018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING TIMES 2020 VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-07",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "CLEMETSON",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "913-475-7713"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH",
"identifier": "84-4065311",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RRS",
"affiliation": "N",
"endpointDescription": "Billing Service",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2601 Anderson Ave Ste 202",
"city": "Manhattan",
"state": "KS",
"country_code": "US",
"postal_code": "665022809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Changing Times",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Changing Times",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.