| Community Mental Health Center Of Crawford County | |
|
911 E Centennial Dr Pittsburg KS 66762-6601 | |
| (620) 231-5130 | |
| (620) 235-7101 |
| Full Name | Community Mental Health Center Of Crawford County |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 E Centennial Dr, Pittsburg, Kansas |
| Authorized Official Name and Position | Stacy L Kratz (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6202315130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Center Of Crawford County 911 E Centennial Dr Pittsburg KS 66762-6601 Ph: (620) 231-5130 | Community Mental Health Center Of Crawford County 911 E Centennial Dr Pittsburg KS 66762-6601 Ph: (620) 231-5130 |
| NPI Number | 1215900899 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 3173427747 |
|---|---|
| Medicare Enrollment ID | O20031125000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215900899 | NPI | - | NPPES |
| 10091610E | Medicaid | KS | |
| 00132 | Other | BCBS | |
| 100091610C | Medicaid | KS | |
| 100091610J | Medicaid | KS | |
| 00847 | Other | BCBS | |
| 000067 | Other | BCBS | |
| 100091610G | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sandra Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538133152 PECOS PAC ID: 9931006434 Enrollment ID: I20031215000048 |
| Provider Name | William J Klontz |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1922001635 PECOS PAC ID: 8628015781 Enrollment ID: I20050411001249 |
| Provider Name | Jeffrey M Burch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225148224 PECOS PAC ID: 2062418205 Enrollment ID: I20061011000770 |
| Provider Name | Cheryl A Lemmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629091525 PECOS PAC ID: 6103989520 Enrollment ID: I20090112000545 |
| Provider Name | Kent R Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104036110 PECOS PAC ID: 4880720804 Enrollment ID: I20100330000295 |
| Provider Name | Cyndi Gayle Antoni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710391248 PECOS PAC ID: 3375800568 Enrollment ID: I20171122002763 |
| Provider Name | Michelle L Coulter Morrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447684931 PECOS PAC ID: 6002151248 Enrollment ID: I20181217002551 |
| Provider Name | Victoria A Hensley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124493390 PECOS PAC ID: 6608102439 Enrollment ID: I20190731001901 |
| Provider Name | Alicia Dawn Humes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649589839 PECOS PAC ID: 5991999005 Enrollment ID: I20201026001285 |
| Provider Name | Jason L Southard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982141420 PECOS PAC ID: 5890150130 Enrollment ID: I20230420001902 |
| Provider Name | Zachary L Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104294180 PECOS PAC ID: 4789919176 Enrollment ID: I20230726000192 |
| Provider Name | William J Howell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548437379 PECOS PAC ID: 0143673798 Enrollment ID: I20240130002999 |
| Provider Name | Rebecca Sue Honeycutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508929829 PECOS PAC ID: 0143582114 Enrollment ID: I20240209001319 |
| Provider Name | James M Childers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487890539 PECOS PAC ID: 4183067580 Enrollment ID: I20240213000257 |
| Provider Name | Christine D Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437417821 PECOS PAC ID: 8729423058 Enrollment ID: I20240227001380 |
| Provider Name | Stacey E Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003066085 PECOS PAC ID: 9638237670 Enrollment ID: I20240228002838 |
Terri Schmitz, Lcpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 E 4th St, Pittsburg, KS 66762 Phone: 620-231-2700 Fax: 620-231-0841 | |
Psychsolutions, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 109 W 4th St, Pittsburg, KS 66762 Phone: 620-308-5115 | |
Got Your Six Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 E 3rd St, Pittsburg, KS 66762 Phone: 620-644-3013 Fax: 620-644-3013 | |
Bartholomew & Dillon Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Smith St, Pittsburg, KS 66762 Phone: 620-231-6758 | |
Psychiatric Associates Of Pittsburg Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 S Mount Carmel Pl, Pittsburg, KS 66762 Phone: 620-232-2270 Fax: 620-231-1378 | |
Renewal House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 E Atkinson Ave, Pittsburg, KS 66762 Phone: 620-231-5141 |