| Kanza Mental Health And Guidance Center, Inc. | |
|
909 S 2nd St Hiawatha KS 66434-2774 | |
| (785) 742-7113 | |
| (785) 742-3085 |
| Full Name | Kanza Mental Health And Guidance Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 909 S 2nd St, Hiawatha, Kansas |
| Authorized Official Name and Position | Billy D Persinger (CEO) |
| Authorized Official Contact | 7857427113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanza Mental Health And Guidance Center, Inc. 909 South 2nd Street Po Box 319 Hiawatha KS 66434-0319 Ph: (785) 742-7113 | Kanza Mental Health And Guidance Center, Inc. 909 S 2nd St Hiawatha KS 66434-2774 Ph: (785) 742-7113 |
| NPI Number | 1619909181 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 7810958998 |
|---|---|
| Medicare Enrollment ID | O20041021000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619909181 | NPI | - | NPPES |
| 100097950B | Medicaid | KS | |
| 100097950A | Medicaid | KS | |
| 100097950D | Medicaid | KS | |
| 100097950C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 013 (Kansas) | Secondary |
| 103T00000X | Psychologist | 013 (Kansas) | Secondary |
| 104100000X | Social Worker | 013 (Kansas) | Primary |
| Provider Name | Arlene R Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336170976 PECOS PAC ID: 3870593684 Enrollment ID: I20090619000448 |
| Provider Name | Alpha W Bales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588798136 PECOS PAC ID: 5092990200 Enrollment ID: I20110504000333 |
| Provider Name | Aaron R East |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871528075 PECOS PAC ID: 4385829308 Enrollment ID: I20110506000021 |
| Provider Name | Julie Ann Odonnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114394954 PECOS PAC ID: 9638439532 Enrollment ID: I20180215000473 |
| Provider Name | Oluwafemi T Oyewole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003301953 PECOS PAC ID: 6507102027 Enrollment ID: I20190103003066 |
| Provider Name | Lanie Guynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376032094 PECOS PAC ID: 0446640007 Enrollment ID: I20211214001918 |
| Provider Name | Diane S Mangold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972552917 PECOS PAC ID: 6709953458 Enrollment ID: I20220606000331 |
| Provider Name | Michael J Knight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669475422 PECOS PAC ID: 7113962614 Enrollment ID: I20221228001305 |
| Provider Name | Amie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730785247 PECOS PAC ID: 8123484938 Enrollment ID: I20230522001555 |
Kanza Mental Health & Guidance Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 S 2nd St, Hiawatha, KS 66434 Phone: 785-742-7114 | |
Shefferd Incorporated Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 700 Oregon St Ste 9, Hiawatha, KS 66434 Phone: 785-288-6253 | |
Kanza Mental Health And Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 S 2nd St, Hiawatha, KS 66434 Phone: 785-742-7113 Fax: 785-742-3085 | |
Kanza Mental Health And Guidance Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 S 2nd St, Hiawatha, KS 66434 Phone: 785-742-7113 Fax: 785-742-3085 | |
Horizon Therapy Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 N 6th St, Hiawatha, KS 66434 Phone: 785-740-4647 | |
Kanza Mental Health And Guidance Center Alcohol And Drug Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 S 2nd St, Hiawatha, KS 66434 Phone: 785-742-7133 Fax: 785-742-3085 |