NPIMap

Organization Active NPI

Counseling and Mediation Center, Inc.

  • Professional Counselor
  • Dodge City, KS
National Provider Identifier
1932585577
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
T-LPC 2790 Issued in KS
Legal business name
COUNSELING AND MEDIATION CENTER, INC.
Practice address
210 Soule St
Suite 106
Dodge City, KS 67801-2558
Phone
(620) 227-2503
Fax
(620) 227-9905
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Michael Nichols, LSCSWNPI 1437180130
Title
Executive Director
Phone
(316) 269-2322

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
Professional Counselor 101YP2500X T-LPC 2790 KS Primary

Addresses

Primary practice location

210 Soule St
Suite 106
Dodge City, KS 67801-2558

Mailing address

200 W Douglas Ave
Suite 560
Wichita, KS 67202-3013
Phone (316) 269-2322

National Provider Directory

National Provider Directory

Locations

210 Soule St
Ste 106
Dodge City, KS 67801
Phone (260) 227-2503

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1932585577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "SUITE 560",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-269-2322",
            "fax_number": "316-269-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOULE ST",
            "address_2": "SUITE 106",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012558",
            "telephone_number": "620-227-2503",
            "fax_number": "620-227-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND MEDIATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-269-2322",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "T-LPC 2790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.