| Mrs Brenda Kay Lee Stoops, MA, LMHC | |
|
3751 W Main St, Independence, KS 67301-8446 | |
| (620) 331-1748 | |
| (620) 332-1940 |
| Full Name | Mrs Brenda Kay Lee Stoops |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3751 W Main St, Independence, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124019708 | NPI | - | NPPES |
| 17515 | Other | IN | PARTNERS HEALTH PLAN |
| 4431 | Other | IN | IUPM |
| 200447760B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39001280A (Indiana) | Secondary |
| 101YP2500X | Counselor - Professional | LCPC2402 (Kansas) | Primary |
| Entity Name | Grand Lake Mental Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda Kay Lee Stoops, MA, LMHC Po Box 688, Independence, KS 67301-0688 Ph: (620) 331-1748 | Mrs Brenda Kay Lee Stoops, MA, LMHC 3751 W Main St, Independence, KS 67301-8446 Ph: (620) 331-1748 |
Barbara Scofield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Courtlynn Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Mulberry St, Independence, KS 67301 Phone: 620-331-8789 | |
Cyndie Reetz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Richard Francis Failla, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3354 Highway 160, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-332-1940 | |
Roman Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 | |
Barbara Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 |