| Johnson County Mental Health Center | |
|
6000 Lamar Ave Suite 130 Mission KS 66202-3234 | |
| (913) 826-4200 | |
| (913) 826-1608 |
| Full Name | Johnson County Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6000 Lamar Ave, Mission, Kansas |
| Authorized Official Name and Position | Lydia Longoria (QUALITY IMPROVEMENT REPRESENTATIVE) |
| Authorized Official Contact | 9138264200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson County Mental Health Center 6000 Lamar Ave Suite 130 Mission KS 66202-3234 Ph: (913) 826-4200 | Johnson County Mental Health Center 6000 Lamar Ave Suite 130 Mission KS 66202-3234 Ph: (913) 826-4200 |
| NPI Number | 1174513444 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 0547156903 |
|---|---|
| Medicare Enrollment ID | O20051112000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174513444 | NPI | - | NPPES |
| 30003914730021 | Medicaid | KS | |
| 100098010D | Medicaid | KS | |
| 2920000B | Other | KS | MEDICARE PTAN |
| 2920000A | Other | KS | MEDICARE PTAN |
| 30003914730001 | Medicaid | KS | |
| 30003914730015 | Medicaid | KS | |
| 100098010F | Medicaid | KS | |
| 100098010J | Medicaid | KS | |
| 30003914730011 | Medicaid | KS | |
| 30003914730013 | Medicaid | KS | |
| 2920000C | Other | KS | MEDICARE PTAN |
| 30003914730012 | Medicaid | KS |
| Provider Name | Andrew I Lauronilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942242672 PECOS PAC ID: 7416923479 Enrollment ID: I20040909001342 |
| Provider Name | Jennifer R Jackson-colburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497787154 PECOS PAC ID: 1759487390 Enrollment ID: I20070427000545 |
| Provider Name | Laurel E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598880684 PECOS PAC ID: 8224126479 Enrollment ID: I20071121000474 |
| Provider Name | Elaine M Good |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174701874 PECOS PAC ID: 8426128539 Enrollment ID: I20080602000394 |
| Provider Name | Kimberly A Rowlands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649217258 PECOS PAC ID: 2567657729 Enrollment ID: I20101112000838 |
| Provider Name | Sobia H Shaffie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003886888 PECOS PAC ID: 0547456998 Enrollment ID: I20101124000070 |
| Provider Name | Todd A Schemmel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881682649 PECOS PAC ID: 8820285315 Enrollment ID: I20101209000758 |
| Provider Name | Anucia Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174809941 PECOS PAC ID: 5395912828 Enrollment ID: I20120124000306 |
| Provider Name | Elizabeth A Worth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215096011 PECOS PAC ID: 7517107030 Enrollment ID: I20130705000374 |
| Provider Name | Michael D Ohlsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336219898 PECOS PAC ID: 1153547021 Enrollment ID: I20140730000143 |
| Provider Name | Marijen Sabas Aga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245575547 PECOS PAC ID: 9537447669 Enrollment ID: I20161025001356 |
| Provider Name | Carla Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245747005 PECOS PAC ID: 0143572073 Enrollment ID: I20181004000623 |
| Provider Name | Shiney Zcharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124682505 PECOS PAC ID: 1850624131 Enrollment ID: I20190603000247 |
| Provider Name | Samantha Cervetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154879120 PECOS PAC ID: 7719215417 Enrollment ID: I20190819003705 |
| Provider Name | Shelby Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225419971 PECOS PAC ID: 5294160214 Enrollment ID: I20200122001722 |
| Provider Name | Mistie Mcreynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902424989 PECOS PAC ID: 2062826373 Enrollment ID: I20210128000534 |
| Provider Name | Gregory Alan Prier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932257169 PECOS PAC ID: 9638195803 Enrollment ID: I20210208001689 |
| Provider Name | Tiffany Noteboom-henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508388778 PECOS PAC ID: 7911302906 Enrollment ID: I20210830002460 |
| Provider Name | Jessica Fairchilds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696743 PECOS PAC ID: 5395002729 Enrollment ID: I20210902003383 |
| Provider Name | Lauren Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861059610 PECOS PAC ID: 8820403207 Enrollment ID: I20220505001489 |
| Provider Name | Savannah Poutch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619532587 PECOS PAC ID: 0143629485 Enrollment ID: I20220706002610 |
| Provider Name | Delissa Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467862169 PECOS PAC ID: 3870975949 Enrollment ID: I20220805001848 |
| Provider Name | Londy Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407343403 PECOS PAC ID: 5294101705 Enrollment ID: I20221024002320 |
| Provider Name | Halee Brockus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245949213 PECOS PAC ID: 0143699272 Enrollment ID: I20221213001554 |
| Provider Name | Anne Nyokabi Ndungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649922048 PECOS PAC ID: 2860863131 Enrollment ID: I20230124002403 |
| Provider Name | Elizabeth Ekis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508410952 PECOS PAC ID: 0042681975 Enrollment ID: I20230131003567 |
| Provider Name | Derek Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538865308 PECOS PAC ID: 0244603207 Enrollment ID: I20230222002958 |
| Provider Name | Meshon Pouncil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766599 PECOS PAC ID: 6608249388 Enrollment ID: I20230228000562 |
| Provider Name | Mary Neuburger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104265289 PECOS PAC ID: 0244543676 Enrollment ID: I20230315002014 |
| Provider Name | Susan Elizabeth Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417228552 PECOS PAC ID: 4789059080 Enrollment ID: I20230418001333 |
| Provider Name | Kelsea Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790474484 PECOS PAC ID: 6901263680 Enrollment ID: I20230612002285 |
| Provider Name | Molly Hair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396251864 PECOS PAC ID: 1355709718 Enrollment ID: I20230617000133 |
| Provider Name | Colyn Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760044457 PECOS PAC ID: 0345608592 Enrollment ID: I20230620001712 |
| Provider Name | Emily L Nowicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689356768 PECOS PAC ID: 8224490552 Enrollment ID: I20230817002004 |
| Provider Name | Devin Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689296626 PECOS PAC ID: 6608239082 Enrollment ID: I20230901000670 |
| Provider Name | Alexandra Laurel Symes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184285959 PECOS PAC ID: 8527416072 Enrollment ID: I20231122001893 |
| Provider Name | Andrew Darnel Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316446404 PECOS PAC ID: 7416305875 Enrollment ID: I20231122002380 |
| Provider Name | Savannah Fillion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649937814 PECOS PAC ID: 2668820028 Enrollment ID: I20231122002525 |
| Provider Name | Jessica Baeuchle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124507405 PECOS PAC ID: 4486002847 Enrollment ID: I20231122002534 |
| Provider Name | Stephen Thomas Eiben |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235323635 PECOS PAC ID: 4284067083 Enrollment ID: I20231122002602 |
| Provider Name | Yevgenia Martirosyan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124751144 PECOS PAC ID: 9739537051 Enrollment ID: I20231128001064 |
| Provider Name | Deborah Lynn Lidzy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932451440 PECOS PAC ID: 9638527880 Enrollment ID: I20231128002440 |
| Provider Name | Beth L Egbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982764668 PECOS PAC ID: 3173971322 Enrollment ID: I20231128002456 |
| Provider Name | Holli Monahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316526387 PECOS PAC ID: 5193125474 Enrollment ID: I20231128002743 |
| Provider Name | Kevin Ryan Kufeldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134399967 PECOS PAC ID: 9032567235 Enrollment ID: I20231129000547 |
| Provider Name | Jennifer D Lighthall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669639498 PECOS PAC ID: 6103274311 Enrollment ID: I20231129001039 |
| Provider Name | Isar Amy Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265993067 PECOS PAC ID: 5092163220 Enrollment ID: I20231129001996 |
| Provider Name | Alexandria Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134679749 PECOS PAC ID: 0042668196 Enrollment ID: I20231129003130 |
| Provider Name | Krista Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407509433 PECOS PAC ID: 8022466192 Enrollment ID: I20231129003639 |
| Provider Name | Mark William Bonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225474992 PECOS PAC ID: 2668820754 Enrollment ID: I20231130000455 |
| Provider Name | Giovannia Latangia Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699035014 PECOS PAC ID: 3971951906 Enrollment ID: I20231130002519 |
| Provider Name | Erin Ann Reisner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629616016 PECOS PAC ID: 9234587056 Enrollment ID: I20231204002910 |
| Provider Name | James Blaine Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447680970 PECOS PAC ID: 3577911304 Enrollment ID: I20231204003500 |
| Provider Name | Michael Diederich Kramer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740837640 PECOS PAC ID: 6709234586 Enrollment ID: I20231205001606 |
| Provider Name | Molly Owens Graves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770071193 PECOS PAC ID: 7810345600 Enrollment ID: I20231205001949 |
| Provider Name | Jordan Mercer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467190199 PECOS PAC ID: 6709235534 Enrollment ID: I20231205003755 |
| Provider Name | Natalie Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518610740 PECOS PAC ID: 4981053238 Enrollment ID: I20231212000980 |
| Provider Name | Jennifer Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245635135 PECOS PAC ID: 2062861933 Enrollment ID: I20231218003050 |
| Provider Name | James Larkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063909166 PECOS PAC ID: 9638529464 Enrollment ID: I20231220001235 |
| Provider Name | Jennifer Pendarvis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447721196 PECOS PAC ID: 4082064811 Enrollment ID: I20231220001277 |
| Provider Name | Chardonnay Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568915874 PECOS PAC ID: 7113377854 Enrollment ID: I20231221001552 |
| Provider Name | Erin Barger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336916261 PECOS PAC ID: 1658721394 Enrollment ID: I20231221001615 |
| Provider Name | Britney Waterworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780170969 PECOS PAC ID: 8921458431 Enrollment ID: I20231226001125 |
| Provider Name | Sheena K Shippee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528387354 PECOS PAC ID: 2264882778 Enrollment ID: I20231226001214 |
| Provider Name | Kimberlee A Fields |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972010379 PECOS PAC ID: 1254781768 Enrollment ID: I20231226001237 |
| Provider Name | Kris Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104266113 PECOS PAC ID: 4981054491 Enrollment ID: I20231226001252 |
| Provider Name | Susan Wecker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922759364 PECOS PAC ID: 1557711074 Enrollment ID: I20231226001550 |
| Provider Name | Howard George Drake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215672605 PECOS PAC ID: 4082065529 Enrollment ID: I20240109001324 |
| Provider Name | Connelly Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295478428 PECOS PAC ID: 0446601991 Enrollment ID: I20240109001665 |
| Provider Name | Sia-awa Samadia Saquee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841799681 PECOS PAC ID: 2668823113 Enrollment ID: I20240109001886 |
| Provider Name | Shabnam Hashemy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861160012 PECOS PAC ID: 0648621839 Enrollment ID: I20240112000259 |
| Provider Name | Allison Lee Hugill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467061192 PECOS PAC ID: 1658724703 Enrollment ID: I20240125001605 |
| Provider Name | Malia Mense |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649884511 PECOS PAC ID: 8527411156 Enrollment ID: I20240130001999 |
| Provider Name | Heather Lynn Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316528821 PECOS PAC ID: 8921442039 Enrollment ID: I20240216001774 |
| Provider Name | Jennifer Melby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104348424 PECOS PAC ID: 2668817438 Enrollment ID: I20240302000244 |
Allies In Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5408 W 58th Ter, Mission, KS 66205 Phone: 913-961-0779 Fax: 913-381-4971 | |
On Track Aba Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5143 Maple Ave, Mission, KS 66202 Phone: 913-475-1095 | |
Behavioral Health Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5408 W 58th Ter, Mission, KS 66205 Phone: 913-381-4992 Fax: 913-381-4971 | |
Whidbey Island Public Hospital District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5632 W 63rd Terrace, Mission, KS 66202 Phone: 360-678-5151 | |
Tamicka Monson Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5515 Foxridge Dr Ste 3, Mission, KS 66202 Phone: 913-346-6252 | |
Kcrcmd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Johnson Dr, Suite 216, Mission, KS 66205 Phone: 816-795-1968 Fax: 816-795-7045 |