Organization Active NPI

Jobe Family Behavioral Health Services, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1962250381
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOBE FAMILY BEHAVIORAL HEALTH SERVICES, LLC
Practice address
10100 W Maple St Ste 102
Wichita, KS 67209-3148
Phone
(316) 295-3495
Fax
(316) 867-1769
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Dr. Ericka Jobe, PHD, LSCSW, LCSWNPI 1912410671
Title
Owner/Clinical Therapist
Phone
(316) 295-3495

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10100 W Maple St Ste 102
Wichita, KS 67209-3148

Mailing address

10100 W Maple St Ste 102
Wichita, KS 67209-3148
Phone (316) 295-3495

Other names 1

  • Outbloom Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1962250381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 W MAPLE ST STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093148",
            "telephone_number": "316-295-3495",
            "fax_number": "316-867-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W MAPLE ST STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093148",
            "telephone_number": "316-295-3495",
            "fax_number": "316-867-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOBE FAMILY BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "316-295-3495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LSCSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outbloom Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.