Sophia Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

358 Issued in KS

Legal business name

SOPHIA CENTER, LLC

Practice address

102 Olive St
Lansing, KS 66043-1639

Phone

(913) 651-2674

Fax

(866) 565-4853

NPI assigned

Jun 28, 2010

Organization subpart

No

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

Authorized official

Name

Deborah Sue Shaddy, MS, LCPCNPI 1649311341

Title

President

Phone

(913) 651-2674

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Deborah Sue Shaddy, M.S., LMHP

  • Mental Health Counselor
  • Lansing, KS
  • NPI 1649311341
  NPD (past) Authorized official
• Dori E. Moore, LSCSW

  • Clinical Social Worker
  • Prairie Village, KS
  • NPI 1760406987
  NPD (past)

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1992016760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SANTA FE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484444",
            "telephone_number": "913-651-2674",
            "fax_number": "866-565-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OLIVE ST",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431639",
            "telephone_number": "913-651-2674",
            "fax_number": "866-565-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SHADDY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-651-2674",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46082363726",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serc Rehabilitation Partners LLC
• Deborah Sue Shaddy, M.S., LMHP
• Anna Shuck, APRN
• Smith Chiropractic Inc
• Ryan Phillip Smith, D.C
• Mariah Stein, PT, DPT
• Linda A Stelter, RPT
• Stephanie Suber DO an Operating Division of Saint John Hospital
• Jeri D. Stephenson, P.A.C.
• Gabriel Stewart

• All providers in Lansing, KS
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.