NPIMap

Organization Active NPI

Southeast Kansas Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humboldt, KS
National Provider Identifier
1992846752
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
025 Issued in KS
Legal business name
SOUTHEAST KANSAS MENTAL HEALTH CENTER
Practice address
1106 S 9TH St
Humboldt, KS 66748-1934
Phone
(620) 473-2241
Fax
(620) 473-3334
NPI assigned
Feb 12, 2007
Reactivated
Aug 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mr. Shana Bennett
Title
Director of Office Opertions
Phone
(620) 365-8641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 025 KS Primary

Addresses

Primary practice location

1106 S 9TH St
Humboldt, KS 66748-1934

Mailing address

1106 S 9TH St
Humboldt, KS 66748-1934
Phone (620) 473-2241

Other identifiers 2

IdentifierTypeStateIssuer
006901OtherKSBLUE SHIELD
3000391474MedicaidKS

National Provider Directory

National Provider Directory
Tax ID family
Southeast Kansas Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1992846752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481934",
            "telephone_number": "620-473-2241",
            "fax_number": "620-473-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 S 9TH ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481934",
            "telephone_number": "620-473-2241",
            "fax_number": "620-473-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-08-18",
        "certification_date": "2025-08-28",
        "deactivation_date": "2026-04-27",
        "reactivation_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DIRECTOR OF OFFICE OPERTIONS",
        "authorized_official_telephone_number": "620-365-8641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "006901",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000391474",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.