| Air Capital Counseling & Assessment, Llc | |
|
2420 N Woodlawn Blvd Bldg 300 Wichita KS 67220-3960 | |
| (316) 347-7157 | |
| (316) 247-9528 |
| Full Name | Air Capital Counseling & Assessment, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2420 N Woodlawn Blvd, Wichita, Kansas |
| Authorized Official Name and Position | Helen Grzeskiewicz (OWNER) |
| Authorized Official Contact | 3163477157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Air Capital Counseling & Assessment, Llc 2420 N Woodlawn Blvd Ste 300 Wichita KS 67220-3960 Ph: (316) 347-7157 | Air Capital Counseling & Assessment, Llc 2420 N Woodlawn Blvd Bldg 300 Wichita KS 67220-3960 Ph: (316) 347-7157 |
| NPI Number | 1619510294 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Medicare PECOS PAC ID | 7012440324 |
|---|---|
| Medicare Enrollment ID | O20241024003983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619510294 | NPI | - | NPPES |
| Provider Name | Nicole R Fenoglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861911273 PECOS PAC ID: 5193088334 Enrollment ID: I20180426000709 |
| Provider Name | Molly E Sapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770078891 PECOS PAC ID: 3870843394 Enrollment ID: I20180905000084 |
| Provider Name | Amanda Root |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871822965 PECOS PAC ID: 5092242479 Enrollment ID: I20241224000997 |
| Provider Name | Helen Grzeskiewicz |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1265740088 PECOS PAC ID: 7719310275 Enrollment ID: I20241227000228 |
| Provider Name | Kaitlyn Jo Connor |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1568075695 PECOS PAC ID: 6608303904 Enrollment ID: I20241227001900 |
| Provider Name | Ciara Mould |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1972255743 PECOS PAC ID: 2365979671 Enrollment ID: I20241227002254 |
| Provider Name | Courtney Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700494432 PECOS PAC ID: 8123555208 Enrollment ID: I20241231003161 |
| Provider Name | Michael Farlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558073783 PECOS PAC ID: 9638699408 Enrollment ID: I20250224001643 |
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