| Pawnee Mental Health Service, Inc. | |
|
2001 Claflin Rd Manhattan KS 66502-3415 | |
| (785) 587-4300 | |
| (785) 587-4377 |
| Full Name | Pawnee Mental Health Service, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2001 Claflin Rd, Manhattan, Kansas |
| Authorized Official Name and Position | Vanessa Raub (PAYROLL & CREDENTIALING MANAGER) |
| Authorized Official Contact | 7855874300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pawnee Mental Health Service, Inc. 2001 Claflin Rd Po Box 747 Manhattan KS 66502-3415 Ph: (785) 587-4300 | Pawnee Mental Health Service, Inc. 2001 Claflin Rd Manhattan KS 66502-3415 Ph: (785) 587-4300 |
| NPI Number | 1275580524 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 3870406820 |
|---|---|
| Medicare Enrollment ID | O20031106000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275580524 | NPI | - | NPPES |
| 30003919880002 | Medicaid | KS | |
| 30003919880008 | Medicaid | KS | |
| 30003919880056 | Medicaid | KS | |
| 30003919880009 | Medicaid | KS | |
| 30003919880042 | Medicaid | KS | |
| 30003919880004 | Medicaid | KS | |
| 30003919880005 | Medicaid | KS | |
| 30003919880001 | Medicaid | KS | |
| 30003919880003 | Medicaid | KS | |
| 30003919880012 | Medicaid | KS | |
| 30003919880013 | Medicaid | KS | |
| 30003919880006 | Medicaid | KS | |
| 30003919880007 | Medicaid | KS | |
| 30003919880043 | Medicaid | KS | |
| 30003919880053 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Kansas) | Primary |
| Provider Name | Paula S Philson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649349127 PECOS PAC ID: 0143119941 Enrollment ID: I20040311000305 |
| Provider Name | Kathryn M Wichmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447205893 PECOS PAC ID: 9537142773 Enrollment ID: I20040609001264 |
| Provider Name | Elizabeth Jane Gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639121247 PECOS PAC ID: 1951310515 Enrollment ID: I20060411000260 |
| Provider Name | Susan Sheereen Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720188725 PECOS PAC ID: 0547266629 Enrollment ID: I20061012000393 |
| Provider Name | Padma K Lassi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841340841 PECOS PAC ID: 3072563931 Enrollment ID: I20070817000570 |
| Provider Name | Kendra M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265576805 PECOS PAC ID: 4981747284 Enrollment ID: I20100209000592 |
| Provider Name | Lila M Peckham Wichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366409427 PECOS PAC ID: 3375669112 Enrollment ID: I20100929000534 |
| Provider Name | Sabra Leigh Tieperman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053395228 PECOS PAC ID: 5890811996 Enrollment ID: I20101013000098 |
| Provider Name | Patricia Louise Jackson-istas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326082322 PECOS PAC ID: 1951583988 Enrollment ID: I20110311000070 |
| Provider Name | Judith A Bunting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750687588 PECOS PAC ID: 6002092269 Enrollment ID: I20110524000273 |
| Provider Name | Desiree E Coniglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366582025 PECOS PAC ID: 8426216862 Enrollment ID: I20120215000128 |
| Provider Name | Maria E Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033157094 PECOS PAC ID: 2365600913 Enrollment ID: I20120228000595 |
| Provider Name | Adam J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144456146 PECOS PAC ID: 8123269925 Enrollment ID: I20130719000715 |
| Provider Name | Roger Kirkwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063728764 PECOS PAC ID: 6901049410 Enrollment ID: I20130903000431 |
| Provider Name | Peter Taulbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225460876 PECOS PAC ID: 0446482160 Enrollment ID: I20140411001400 |
| Provider Name | Rebecca Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457665291 PECOS PAC ID: 3577788462 Enrollment ID: I20140709001538 |
| Provider Name | Joette D Vignery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497049241 PECOS PAC ID: 1658684089 Enrollment ID: I20150714002619 |
| Provider Name | Matthew Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669735478 PECOS PAC ID: 6608181763 Enrollment ID: I20150818005804 |
| Provider Name | Eva-maria Sabata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295063287 PECOS PAC ID: 3678881448 Enrollment ID: I20150928001304 |
| Provider Name | Roy P Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033309265 PECOS PAC ID: 9335459460 Enrollment ID: I20151102002202 |
| Provider Name | Lisa Parsons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356687396 PECOS PAC ID: 2264737873 Enrollment ID: I20160219000197 |
| Provider Name | Brenda L Murrow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205261542 PECOS PAC ID: 9638438302 Enrollment ID: I20180126000041 |
| Provider Name | Sandie W Kreiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881145498 PECOS PAC ID: 8224393061 Enrollment ID: I20180529002519 |
| Provider Name | Jennifer Ann Porrino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366700296 PECOS PAC ID: 8426301557 Enrollment ID: I20181019000175 |
| Provider Name | Katy Nicole Tajchman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942684352 PECOS PAC ID: 9638416423 Enrollment ID: I20190201001268 |
| Provider Name | Jeremy Corbeille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053671933 PECOS PAC ID: 5092049916 Enrollment ID: I20190627000208 |
| Provider Name | Eric James Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396193538 PECOS PAC ID: 0143557736 Enrollment ID: I20190805002340 |
| Provider Name | Jena L Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457879850 PECOS PAC ID: 7911236542 Enrollment ID: I20190907000219 |
| Provider Name | Jennifer M Helker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326690496 PECOS PAC ID: 1759714314 Enrollment ID: I20191212000938 |
| Provider Name | Jerusha N Muniu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043830748 PECOS PAC ID: 2264863075 Enrollment ID: I20200512000871 |
| Provider Name | Brynne E Haverkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689027377 PECOS PAC ID: 8527489590 Enrollment ID: I20200528003300 |
| Provider Name | Heather R Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420916 PECOS PAC ID: 9537580303 Enrollment ID: I20200603000313 |
| Provider Name | Gloria Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336770205 PECOS PAC ID: 0547684318 Enrollment ID: I20200727001985 |
| Provider Name | Julia Ga Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346855673 PECOS PAC ID: 6305264540 Enrollment ID: I20200921000450 |
| Provider Name | Paula Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295110286 PECOS PAC ID: 5395088140 Enrollment ID: I20201118002821 |
| Provider Name | Andrea Laurin Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538650296 PECOS PAC ID: 2163834441 Enrollment ID: I20201210000226 |
| Provider Name | Courtney Graby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336604339 PECOS PAC ID: 8729490685 Enrollment ID: I20201217000631 |
| Provider Name | Sarah L Emerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245786748 PECOS PAC ID: 3476965229 Enrollment ID: I20201218001790 |
| Provider Name | Colleen O'connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891286852 PECOS PAC ID: 7911310388 Enrollment ID: I20201231001075 |
| Provider Name | Jasmine Lachelle Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114493210 PECOS PAC ID: 2062825318 Enrollment ID: I20210106001816 |
| Provider Name | Karlyn Suzanne Devlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588252464 PECOS PAC ID: 5991118887 Enrollment ID: I20210114001194 |
| Provider Name | Kelsey Rae Harwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730729005 PECOS PAC ID: 1456767193 Enrollment ID: I20210304001351 |
| Provider Name | Rachel Yvonne Kaufman |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1316353329 PECOS PAC ID: 4587073127 Enrollment ID: I20210511001686 |
| Provider Name | Clarence D Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134735723 PECOS PAC ID: 9638572241 Enrollment ID: I20210720002328 |
| Provider Name | Debra M Maxey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356637672 PECOS PAC ID: 0547668212 Enrollment ID: I20211011000832 |
| Provider Name | Kate Jessica Martell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386283422 PECOS PAC ID: 0345632550 Enrollment ID: I20220120002464 |
| Provider Name | Aryn Nicole Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689235400 PECOS PAC ID: 8527453729 Enrollment ID: I20220325001383 |
| Provider Name | Shi-metria M Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154713709 PECOS PAC ID: 3375921695 Enrollment ID: I20220527000662 |
| Provider Name | Theresia Lefang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942848742 PECOS PAC ID: 7618399486 Enrollment ID: I20220624001249 |
| Provider Name | Emma Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441876 PECOS PAC ID: 9436538188 Enrollment ID: I20220627001203 |
| Provider Name | Karissa Joan Mishler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235861386 PECOS PAC ID: 9335521780 Enrollment ID: I20220801002433 |
| Provider Name | Nicole Jonas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538615562 PECOS PAC ID: 4587046867 Enrollment ID: I20220803001135 |
| Provider Name | Sidraa Dad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255805248 PECOS PAC ID: 1254700321 Enrollment ID: I20221212002264 |
| Provider Name | Ashley Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164995106 PECOS PAC ID: 3678944808 Enrollment ID: I20230125002017 |
| Provider Name | Paige Alayne Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700577186 PECOS PAC ID: 9234598624 Enrollment ID: I20230703001319 |
| Provider Name | Jessica Jewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437587235 PECOS PAC ID: 6608002597 Enrollment ID: I20231009000505 |
| Provider Name | Mark Rothfuss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629007877 PECOS PAC ID: 2567466469 Enrollment ID: I20231219001999 |
| Provider Name | Emily Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043979032 PECOS PAC ID: 2466802327 Enrollment ID: I20231219002359 |
| Provider Name | Karsen Lynsie Staudt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922751676 PECOS PAC ID: 5395196984 Enrollment ID: I20240108005375 |
| Provider Name | Susan R Jording |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598281230 PECOS PAC ID: 2961853593 Enrollment ID: I20240109000643 |
| Provider Name | Layne Njaa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538847553 PECOS PAC ID: 5395196927 Enrollment ID: I20240109000751 |
| Provider Name | Pamela Steinmetz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851942791 PECOS PAC ID: 8224489638 Enrollment ID: I20240110002979 |
| Provider Name | Kamille Marie Greene |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639842586 PECOS PAC ID: 1254783533 Enrollment ID: I20240123001625 |
| Provider Name | Gwendolyn B Pescini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215643598 PECOS PAC ID: 0749633980 Enrollment ID: I20240124002416 |
| Provider Name | Nicole Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275037830 PECOS PAC ID: 5496108516 Enrollment ID: I20240125000749 |
| Provider Name | Hazel L Dewee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912482472 PECOS PAC ID: 5395188635 Enrollment ID: I20240203000209 |
| Provider Name | Kristine Goza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790192037 PECOS PAC ID: 5799128716 Enrollment ID: I20240207000857 |
| Provider Name | Meredith Schottler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598709396 PECOS PAC ID: 0840643433 Enrollment ID: I20240208000876 |
| Provider Name | Alison C Creagar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952824500 PECOS PAC ID: 4183077597 Enrollment ID: I20240208000930 |
| Provider Name | Savinien Siewe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124719380 PECOS PAC ID: 0941656748 Enrollment ID: I20240208002814 |
| Provider Name | Kenneth Arthur Mcvay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629605068 PECOS PAC ID: 2668817172 Enrollment ID: I20240223002706 |
| Provider Name | Kathryn Rachel Erk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891259289 PECOS PAC ID: 4789020066 Enrollment ID: I20240308001393 |
| Provider Name | Krystal Lantz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215213186 PECOS PAC ID: 7315297579 Enrollment ID: I20240308002144 |
| Provider Name | Terra Upham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992145841 PECOS PAC ID: 3476894643 Enrollment ID: I20240312002290 |
| Provider Name | Myra Pfeifer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699718858 PECOS PAC ID: 3375893753 Enrollment ID: I20240312003345 |
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Megan Oetinger Psy.d., Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1408 Poyntz Ave, Manhattan, KS 66502 Phone: 785-776-4105 Fax: 785-537-2299 | |
Manhattan Mental Health Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 555 Poyntz Ave Ste 243, Manhattan, KS 66502 Phone: 785-537-6051 Fax: 844-222-3691 | |
Neuroscience & Rehabilitation Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 222 N 6th St, Manhattan, KS 66502 Phone: 785-537-9349 Fax: 785-537-9486 | |
Katies Way Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Poyntz Ave Building B, Manhattan, KS 66502 Phone: 785-320-7331 Fax: 785-320-7338 | |
Kansas State University Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 English/counseling Svcs Bldg, Manhattan, KS 66506 Phone: 785-532-6927 Fax: 785-532-3932 |