| Soma Recovery Llc | |
|
825 N Waco Ave Wichita KS 67203-3939 | |
| (316) 201-6047 | |
| (316) 221-7157 |
| Full Name | Soma Recovery Llc |
|---|---|
| Speciality | Counselor |
| Location | 825 N Waco Ave, Wichita, Kansas |
| Authorized Official Name and Position | Jenny Helms (OWNER, THERAPIST) |
| Authorized Official Contact | 7707154772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soma Recovery Llc 825 N Waco Ave Wichita KS 67203-3939 Ph: (316) 201-6047 | Soma Recovery Llc 825 N Waco Ave Wichita KS 67203-3939 Ph: (316) 201-6047 |
| NPI Number | 1750850723 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 7810387339 |
|---|---|
| Medicare Enrollment ID | O20211123003204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750850723 | NPI | - | NPPES |
| Provider Name | Michael L Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437180130 PECOS PAC ID: 6608831581 Enrollment ID: I20041120000127 |
| Provider Name | Monica S Brooker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689632002 PECOS PAC ID: 2769546738 Enrollment ID: I20090205000703 |
| Provider Name | Laveta M Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588890404 PECOS PAC ID: 8628124229 Enrollment ID: I20090923000641 |
| Provider Name | Laura Corey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407082217 PECOS PAC ID: 7012229412 Enrollment ID: I20150626001000 |
| Provider Name | Elesa Lynee Ignowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685151 PECOS PAC ID: 3971813650 Enrollment ID: I20151109002005 |
| Provider Name | Meredith A Whaley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134173149 PECOS PAC ID: 7113223637 Enrollment ID: I20160309002514 |
| Provider Name | Angela M Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427570373 PECOS PAC ID: 6103196977 Enrollment ID: I20170727000415 |
| Provider Name | Hollie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447801493 PECOS PAC ID: 5496087942 Enrollment ID: I20191101001449 |
| Provider Name | Natasha B O'donnell |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1114208576 PECOS PAC ID: 3870927312 Enrollment ID: I20191217000302 |
| Provider Name | Angela Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437891413 PECOS PAC ID: 4183005606 Enrollment ID: I20220714003717 |
| Provider Name | Samantha Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013326719 PECOS PAC ID: 2769865005 Enrollment ID: I20220818001739 |
| Provider Name | Tara Lawrenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396441911 PECOS PAC ID: 4688048283 Enrollment ID: I20230322001554 |
| Provider Name | Cissy Jo Stiles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861025165 PECOS PAC ID: 9234588765 Enrollment ID: I20231209000458 |
| Provider Name | Ariel Clementi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114460813 PECOS PAC ID: 0648611285 Enrollment ID: I20240514000344 |
| Provider Name | Beth A Sharbutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154061422 PECOS PAC ID: 2668904046 Enrollment ID: I20241010003201 |
| Provider Name | Karla Hartlep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396282703 PECOS PAC ID: 2062940802 Enrollment ID: I20250108000855 |
| Provider Name | Kenneth T Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679785265 PECOS PAC ID: 0840728044 Enrollment ID: I20250116000558 |
| Provider Name | Ellenette Hiland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982121091 PECOS PAC ID: 1951830629 Enrollment ID: I20250124001308 |
| Provider Name | Lacey Wellemeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952040008 PECOS PAC ID: 1658898887 Enrollment ID: I20250509002998 |
| Provider Name | Wendy Sloniker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407270176 PECOS PAC ID: 0749709160 Enrollment ID: I20250528003017 |
| Provider Name | Yolonda Farrar |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1750067963 PECOS PAC ID: 8729517495 Enrollment ID: I20250612003662 |
Wichita State University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Fairmount Box 91, Wichita, KS 67260 Phone: 502-821-7904 | |
Wichita Ocd Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N Exposition St, Wichita, KS 67203 Phone: 316-854-3520 | |
Manatee Care P.a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4925 S Broadway Ave Unit 8181, Wichita, KS 67216 Phone: 213-558-4348 | |
Change Your Life Enterprises, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9505 W. Central, Ste. 103, Wichita, KS 67212 Phone: 316-721-0971 Fax: 316-512-4070 | |
Counseling & Mediation Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Douglas Ave Ste 560, Wichita, KS 67202 Phone: 316-269-2322 Fax: 316-269-2448 | |
Family Consultation Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 N. Exposition, Wichita, KS 67203 Phone: 316-264-8317 Fax: 316-264-0347 | |
Pathway Church Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Maize Rd, Wichita, KS 67212 Phone: 316-722-8020 Fax: 316-722-4297 |