| Mark W Rothfuss, LCMFT, LMAC | |
|
207 N Mill St Ste 5, Beloit, KS 67420 | |
| (785) 738-5363 | |
| (785) 738-6471 |
| Full Name | Mark W Rothfuss |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 207 N Mill St Ste 5, Beloit, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629007877 | NPI | - | NPPES |
| 200450820A | Medicaid | KS | |
| 856675 | Other | KS | BCBS |
| 11655335 | Other | CAQH | |
| 818-3624 | Other | KS | CONSORTIUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 457 (Kansas) | Secondary |
| 106H00000X | Marriage & Family Therapist | 327 (Kansas) | Primary |
| Entity Name | Pawnee Mental Health Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275580524 PECOS PAC ID: 3870406820 Enrollment ID: O20031106000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Rothfuss, LCMFT, LMAC Po Box 747, Manhattan, KS 66505-0747 Ph: (785) 587-4300 | Mark W Rothfuss, LCMFT, LMAC 207 N Mill St Ste 5, Beloit, KS 67420 Ph: (785) 738-5363 |
Miss Lyda Elizabeth Fincham, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 113 E Main St, Beloit, KS 67420 Phone: 785-534-7090 | |
Mrs. Katrina J. Jones, M.S., LCMFT, RPT Couples Therapy Medicare: Medicare Enrolled Practice Location: 205 N Washington St, Beloit, KS 67420 Phone: 785-450-1266 |