| Johnson County Mental Health Center | |
|
6000 Lamar Ave Suite 130 Mission KS 66202-3234 | |
| (913) 826-4200 | |
| (913) 715-2533 |
| 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 | 07/17/2025 |
| Certification Date | 07/17/2025 |
| Medicare PECOS PAC ID | 0547156903 |
|---|---|
| Medicare Enrollment ID | O20051112000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174513444 | NPI | - | NPPES |
| 2920000C | Other | KS | MEDICARE PTAN |
| 30003914730013 | Medicaid | KS | |
| 2920000B | Other | KS | MEDICARE PTAN |
| 30003914730011 | Medicaid | KS | |
| 30003914730015 | Medicaid | KS | |
| 30003914730021 | Medicaid | KS | |
| 100098010J | Medicaid | KS | |
| 30003914730001 | Medicaid | KS | |
| 2920000A | Other | KS | MEDICARE PTAN |
| 30003914730012 | Medicaid | KS | |
| 100098010F | Medicaid | KS | |
| 100098010D | 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 | Amber D Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629120043 PECOS PAC ID: 2860584133 Enrollment ID: I20070816000809 |
| 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 | Michelle Annette Harshfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568400190 PECOS PAC ID: 3274694922 Enrollment ID: I20081212000527 |
| Provider Name | Sobia H Shaffie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003886888 PECOS PAC ID: 0547456998 Enrollment ID: I20101124000070 |
| Provider Name | Anucia Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174809941 PECOS PAC ID: 5395912828 Enrollment ID: I20120124000306 |
| Provider Name | Jonathan R Staples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982968863 PECOS PAC ID: 3870808363 Enrollment ID: I20150812008309 |
| 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 | Monty Wayne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689711582 PECOS PAC ID: 7618237934 Enrollment ID: I20190102000024 |
| 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 | 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 | 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 | 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 | 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 | Deborah Lynn Lidzy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932451440 PECOS PAC ID: 9638527880 Enrollment ID: I20231128002440 |
| Provider Name | Holli Monahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316526387 PECOS PAC ID: 5193125474 Enrollment ID: I20231128002743 |
| 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 | Alexandria Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134679749 PECOS PAC ID: 0042668196 Enrollment ID: I20231129003130 |
| 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 | Jennifer Pendarvis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447721196 PECOS PAC ID: 4082064811 Enrollment ID: I20231220001277 |
| 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 | 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 | 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 |
| Provider Name | Haley Honn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457121451 PECOS PAC ID: 0749620029 Enrollment ID: I20240503000746 |
| Provider Name | Brandon Mark Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588320295 PECOS PAC ID: 8224478433 Enrollment ID: I20240503002290 |
| Provider Name | Quisha Mian Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689438939 PECOS PAC ID: 5799126512 Enrollment ID: I20240510002527 |
| Provider Name | Kimberly Huff-schroer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669800017 PECOS PAC ID: 0446692255 Enrollment ID: I20240524001742 |
| Provider Name | Rachel Lyn Itkonen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689327066 PECOS PAC ID: 9133514755 Enrollment ID: I20240604000863 |
| Provider Name | Vicki Canady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487434544 PECOS PAC ID: 0143762674 Enrollment ID: I20240611004441 |
| Provider Name | Samantha Lucey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497591648 PECOS PAC ID: 0648716415 Enrollment ID: I20240729003007 |
| Provider Name | Christina Kohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477598951 PECOS PAC ID: 8628207560 Enrollment ID: I20240731004473 |
| Provider Name | Heather Feingold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124857263 PECOS PAC ID: 9133668635 Enrollment ID: I20240828003065 |
| Provider Name | Amanda Schwegler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669958690 PECOS PAC ID: 3870032071 Enrollment ID: I20240903000681 |
| Provider Name | Tiffany Lynn Rito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730351859 PECOS PAC ID: 8123559341 Enrollment ID: I20240930000645 |
| Provider Name | Jennifer Branch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851961585 PECOS PAC ID: 5496287021 Enrollment ID: I20241021001208 |
| Provider Name | Gildaleine San Juan Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295425601 PECOS PAC ID: 5193189363 Enrollment ID: I20241025002157 |
| Provider Name | Crystal Allison Matchette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265745442 PECOS PAC ID: 8729511993 Enrollment ID: I20241025002188 |
| Provider Name | Ashleigh Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417518945 PECOS PAC ID: 9133653918 Enrollment ID: I20241115002413 |
| Provider Name | Mykia Carrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851113237 PECOS PAC ID: 7315472727 Enrollment ID: I20241121004500 |
| Provider Name | Andrea Baskfield-mathis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467072694 PECOS PAC ID: 1557897113 Enrollment ID: I20241206001092 |
| Provider Name | Maleah Banker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609695998 PECOS PAC ID: 0244766764 Enrollment ID: I20241207000334 |
| Provider Name | Talita Leikam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073244646 PECOS PAC ID: 0143750737 Enrollment ID: I20250212001053 |
| Provider Name | Chastity Jo Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821682980 PECOS PAC ID: 9133642820 Enrollment ID: I20250403000752 |
| Provider Name | Rebecca Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568988988 PECOS PAC ID: 8527403781 Enrollment ID: I20250428000280 |
| Provider Name | Kara G Thompson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760648075 PECOS PAC ID: 0446778690 Enrollment ID: I20250520004753 |
Allies In Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5408 W 58th Ter, Mission, KS 66205 Phone: 913-961-0779 Fax: 913-381-4971 | |
Muse Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5940 Lamar Ave, Mission, KS 66202 Phone: 804-682-1083 | |
Kaleidoscope Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Johnson Dr Ste 305, Mission, KS 66205 Phone: 913-802-2196 | |
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 |