| Elemental Insights Counseling And Support Llc | |
|
1031 Vermont St Ste 140 Lawrence KS 66044-6002 | |
| (785) 251-0559 | |
| (785) 286-5901 |
| Full Name | Elemental Insights Counseling And Support Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1031 Vermont St Ste 140, Lawrence, Kansas |
| Authorized Official Name and Position | Jeremy High (OWNER) |
| Authorized Official Contact | 7852510559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Insights Counseling And Support Llc 1031 Vermont St Ste 140 Lawrence KS 66044-6002 Ph: (785) 251-0559 | Elemental Insights Counseling And Support Llc 1031 Vermont St Ste 140 Lawrence KS 66044-6002 Ph: (785) 251-0559 |
| NPI Number | 1205604881 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 6002330750 |
|---|---|
| Medicare Enrollment ID | O20250403003137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205604881 | NPI | - | NPPES |
| 201147100B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeremy Lscsw High |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710381850 PECOS PAC ID: 3173805173 Enrollment ID: I20210616001357 |
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