| Daniel Lynn Enns, | |
|
210 W 21st St, Concordia, KS 66901-5200 | |
| (785) 243-8900 | |
| Not Available |
| Full Name | Daniel Lynn Enns |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 210 W 21st St, Concordia, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053059022 | NPI | - | NPPES |
| 1083187405 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-2323 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | LCPC04290 (Kansas) | Primary |
| Entity Name | Volunteers Of America Northern Rockies |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689249682 PECOS PAC ID: 1355733015 Enrollment ID: O20220110002012 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Lynn Enns, 2001 Claflin Rd, Manhattan, KS 66502-3415 Ph: (785) 587-4300 | Daniel Lynn Enns, 210 W 21st St, Concordia, KS 66901-5200 Ph: (785) 243-8900 |
James Robert Kerr, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Washington Street, Suite C, Concordia, KS 66901 Phone: 785-243-4164 Fax: 785-243-4164 | |
Amber Lynn Wogomon, LMSW, LMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W 6th St, Concordia, KS 66901 Phone: 785-560-3101 Fax: 785-527-8317 | |
Jonathan Dominguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 | |
Mrs. Patricia L Jackson-istas, LSCSW, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 Fax: 785-243-8933 | |
Lynell Beth Kallman, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Washington St, Suite C, Concordia, KS 66901 Phone: 785-243-4164 Fax: 785-243-4164 | |
John Sampson, LMLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 Fax: 785-243-8933 |