NPIMap

Organization Active NPI

Crawford County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburg, KS
National Provider Identifier
1942064423
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CRAWFORD COUNTY MENTAL HEALTH CENTER
Practice address
911 E Centennial Dr
Pittsburg, KS 66762-6601
Phone
(620) 231-5130
NPI assigned
Feb 6, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Stacy Kratz
Title
Chief Operations Offier
Phone
(620) 231-5130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

911 E Centennial Dr
Pittsburg, KS 66762-6601

Mailing address

3113 N Michigan St Ste B
Pittsburg, KS 66762-2564

Other practice location 1

710 N Broadway St
Pittsburg, KS 66762-3922
Phone (620) 231-5130

Other practice location 2

606 E Atkinson Ave
Pittsburg, KS 66762-2303
Phone (620) 231-5130

Other practice location 3

212 E 5th St
Pittsburg, KS 66762-4046
Phone (620) 231-5130

Other practice location 4

810 Cedar St
Girard, KS 66743-2056
Phone (620) 231-5130

Other practice location 5

3103 N Michigan St
Pittsburg, KS 66762-2543
Phone (620) 231-5130

Other practice location 6

411 E Madison St
Pittsburg, KS 66762-5924
Phone (620) 231-5130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528001918 KS Part B Supplier - Clinic/Group Practice 3072955616 Receives reassigned benefits from 15 practitioners
Practice locations: Pittsburg, KS

National Provider Directory

National Provider Directory
Tax ID family
Crawford County Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3103 N Michigan St
Pittsburg, KS 66762
Phone (620) 235-5130

3113 N Michigan St
Ste B
Pittsburg, KS 66762

411 E Madison St
Pittsburg, KS 66762
Phone (620) 232-3228

911 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 338-7282

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1942064423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 N MICHIGAN ST STE B",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626601",
            "telephone_number": "620-231-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667623922",
            "country_code": "US",
            "telephone_number": "620-231-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 E Atkinson Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667622303",
            "country_code": "US",
            "telephone_number": "620-231-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667624046",
            "country_code": "US",
            "telephone_number": "620-231-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "KS",
            "postal_code": "667432056",
            "country_code": "US",
            "telephone_number": "620-231-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3103 N Michigan St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667622543",
            "country_code": "US",
            "telephone_number": "620-231-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 E Madison St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667625924",
            "country_code": "US",
            "telephone_number": "620-231-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRAWFORD COUNTY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFIER",
        "authorized_official_telephone_number": "620-231-5130"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

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

Verify at the official NPI Registry.