| Center For Counseling And Consultation | |
|
5815 Broadway Ave Great Bend KS 67530-3123 | |
| (620) 792-2544 | |
| (620) 792-7052 |
| Full Name | Center For Counseling And Consultation |
|---|---|
| Speciality | Clinic/Center |
| Location | 5815 Broadway Ave, Great Bend, Kansas |
| Authorized Official Name and Position | Patrick W Stang (CLIN DIR) |
| Authorized Official Contact | 6207922544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Counseling And Consultation 5815 Broadway Ave Great Bend KS 67530-3123 Ph: (620) 792-2544 | Center For Counseling And Consultation 5815 Broadway Ave Great Bend KS 67530-3123 Ph: (620) 792-2544 |
| NPI Number | 1104862549 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 05/06/2015 |
| Medicare PECOS PAC ID | 2961458518 |
|---|---|
| Medicare Enrollment ID | O20050325000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104862549 | NPI | - | NPPES |
| 100098090A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 004-06302011 (Kansas) | Primary |
| Provider Name | Patrick W Stang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639100183 PECOS PAC ID: 6709827421 Enrollment ID: I20050512000632 |
| Provider Name | Elizabeth Jane Gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639121247 PECOS PAC ID: 1951310515 Enrollment ID: I20060411000260 |
| Provider Name | Alice Griffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366445215 PECOS PAC ID: 8729184288 Enrollment ID: I20070718000141 |
| Provider Name | Cherie L Cell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285897546 PECOS PAC ID: 2668514399 Enrollment ID: I20100119000520 |
| Provider Name | Mary Griswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992973218 PECOS PAC ID: 4284803941 Enrollment ID: I20110815000218 |
| Provider Name | Teresa E Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083665731 PECOS PAC ID: 6204089162 Enrollment ID: I20130102000071 |
| Provider Name | Jillian A Hulse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891222865 PECOS PAC ID: 0244508992 Enrollment ID: I20170621001261 |
| Provider Name | Lori K Brax |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245528132 PECOS PAC ID: 3476817628 Enrollment ID: I20180516000515 |
| Provider Name | Brenda K Dinges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629620406 PECOS PAC ID: 7113256363 Enrollment ID: I20190912002726 |
| Provider Name | Luann K Daum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568004836 PECOS PAC ID: 0547692345 Enrollment ID: I20191116000260 |
| Provider Name | Jennifer M Helker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326690496 PECOS PAC ID: 1759714314 Enrollment ID: I20191212000938 |
| Provider Name | Scot Lee Yarnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457914228 PECOS PAC ID: 2961833215 Enrollment ID: I20200520003448 |
| Provider Name | Joelle Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366068173 PECOS PAC ID: 6002232790 Enrollment ID: I20200729000427 |
| Provider Name | Erica Seger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760016794 PECOS PAC ID: 9436560547 Enrollment ID: I20201120002411 |
| Provider Name | Whitney L Gudgel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427596279 PECOS PAC ID: 6204248347 Enrollment ID: I20201215001927 |
| Provider Name | Sarah D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952494866 PECOS PAC ID: 7911949730 Enrollment ID: I20211022001159 |
| Provider Name | Alexis D Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851890792 PECOS PAC ID: 1951792795 Enrollment ID: I20220105000769 |
| Provider Name | Natasha W Herrin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093299356 PECOS PAC ID: 0941553473 Enrollment ID: I20220203001631 |
| Provider Name | Ashley L Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891448049 PECOS PAC ID: 5597159343 Enrollment ID: I20220222000767 |
| Provider Name | Leonard Kaiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831360817 PECOS PAC ID: 0446609986 Enrollment ID: I20231211000163 |
| Provider Name | Travis Hamrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700904786 PECOS PAC ID: 6709235245 Enrollment ID: I20231211000202 |
| Provider Name | Gail Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538287560 PECOS PAC ID: 7618326091 Enrollment ID: I20231211001661 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285988907 PECOS PAC ID: 9234588633 Enrollment ID: I20231211002630 |
| Provider Name | Stephen Heit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134343593 PECOS PAC ID: 7416306824 Enrollment ID: I20231211003039 |
| Provider Name | Lydia Butner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750822144 PECOS PAC ID: 2264881333 Enrollment ID: I20231214001741 |
| Provider Name | Candace A Maxwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255560769 PECOS PAC ID: 5193181626 Enrollment ID: I20240207000948 |
| Provider Name | Gina Helsel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255600730 PECOS PAC ID: 0941643373 Enrollment ID: I20240213001312 |
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