Southeast Kansas Mental Health Center - Medicare Mental Health Clinic in Humboldt, KS

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Southeast Kansas Mental Health Center is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Humboldt, Kansas. The current practice location for Southeast Kansas Mental Health Center is 1106 S 9th St, Humboldt, Kansas. For appointments, you can reach them via phone at (620) 473-2241. The mailing address for Southeast Kansas Mental Health Center is 1106 S 9th St, Humboldt, Kansas and phone number is (620) 473-2241.

Southeast Kansas Mental Health Center is licensed to practice in Kansas (license number 025). The clinic also participates in the medicare program and its NPI number is 1467414771. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (620) 473-2241.

Contact Information

Southeast Kansas Mental Health Center
1106 S 9th St
Humboldt
KS 66748-1934
(620) 473-2241
(620) 473-3334

Map and Direction


Mental Health Clinic Profile

Full NameSoutheast Kansas Mental Health Center
SpecialityClinic/Center
Location1106 S 9th St, Humboldt, Kansas
Authorized Official Name and PositionShana Bennett (DIRECTOR OF OFFICE OPERATIONS)
Authorized Official Contact6203658641
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeast Kansas Mental Health Center
1106 S 9th St
Humboldt
KS 66748-1934

Ph: (620) 473-2241		Southeast Kansas Mental Health Center
1106 S 9th St
Humboldt
KS 66748-1934

Ph: (620) 473-2241

NPI Details:

NPI Number1467414771
Provider Enumeration Date04/03/2006
Last Update Date03/20/2026
Certification Date03/20/2026

Medicare PECOS Information:

Medicare PECOS PAC ID3870562879
Medicare Enrollment IDO20040927001008

Medical Identifiers

Medical identifiers for Southeast Kansas Mental Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467414771NPI-NPPES
006901OtherKSBLUE SHIELD
3000391474MedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 025 (Kansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southeast Kansas Mental Health Center acts as a billing entity for following providers:
Provider NameBruce W Lee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952391740
PECOS PAC ID: 3870496037
Enrollment ID: I20040204000667
Provider NameTimothy C Spears
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639173156
PECOS PAC ID: 5597673327
Enrollment ID: I20040220000487
Provider NamePamela R Allen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740381813
PECOS PAC ID: 3870565724
Enrollment ID: I20040811000433
Provider NameKaren Lea King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225034143
PECOS PAC ID: 4183696008
Enrollment ID: I20040811000576
Provider NameGuillermo R Ibarra
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265497424
PECOS PAC ID: 3173560828
Enrollment ID: I20050413001113
Provider NameGreta S Mcfarland
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801874086
PECOS PAC ID: 8426095001
Enrollment ID: I20050414000947
Provider NameRobert K Thomen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578553137
PECOS PAC ID: 6204873797
Enrollment ID: I20050415000554
Provider NameCharles Vanhouden
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1417953605
PECOS PAC ID: 3476592734
Enrollment ID: I20050427000460
Provider NameJohn A Helton
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407908023
PECOS PAC ID: 4789628876
Enrollment ID: I20050620000662
Provider NameMartin W Dillow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073730867
PECOS PAC ID: 4789784448
Enrollment ID: I20070710000667
Provider NameKathryn K Newman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841381894
PECOS PAC ID: 3577631498
Enrollment ID: I20081006000310
Provider NameElizabeth D Garton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306037429
PECOS PAC ID: 8628146545
Enrollment ID: I20081006000340
Provider NameDavid M Guernsey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538388251
PECOS PAC ID: 1456408038
Enrollment ID: I20090416000768
Provider NameJohn Jason Robinson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1376521468
PECOS PAC ID: 2163502709
Enrollment ID: I20100512001059
Provider NameLila M Peckham Wichman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366409427
PECOS PAC ID: 3375669112
Enrollment ID: I20100929000534
Provider NameAntigone M Means
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033261664
PECOS PAC ID: 4082730825
Enrollment ID: I20100929000560
Provider NameAmy A White Blakesley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588716963
PECOS PAC ID: 2567588304
Enrollment ID: I20100929000662
Provider NameDouglas E Wright
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083766307
PECOS PAC ID: 8729104575
Enrollment ID: I20100929000693
Provider NameLeigh E Scharff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962756072
PECOS PAC ID: 1254586035
Enrollment ID: I20130228000010
Provider NameRhoda L Schwindt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366605107
PECOS PAC ID: 6103050968
Enrollment ID: I20131009002088
Provider NameJanalin Taylor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144372764
PECOS PAC ID: 1658504998
Enrollment ID: I20140512001404
Provider NameKathi Yokum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255740171
PECOS PAC ID: 8628297983
Enrollment ID: I20140918000718
Provider NameKelli Jo Eccles
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1003284449
PECOS PAC ID: 1254640097
Enrollment ID: I20151019002006
Provider NameErika Dawn Dick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245685403
PECOS PAC ID: 2961791769
Enrollment ID: I20160518001157
Provider NameAnissa Sell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437510757
PECOS PAC ID: 9739479676
Enrollment ID: I20160603002075
Provider NameMonique Dickinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336681386
PECOS PAC ID: 9931488178
Enrollment ID: I20161111000156
Provider NameCandice L Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578015616
PECOS PAC ID: 7911287701
Enrollment ID: I20161214000321
Provider NameRandall Edward Tindle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609368075
PECOS PAC ID: 0345590725
Enrollment ID: I20180905002849
Provider NameJustin T Roach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851950364
PECOS PAC ID: 1153658364
Enrollment ID: I20190812001178
Provider NameMichelle A Hoag
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285912675
PECOS PAC ID: 7618380932
Enrollment ID: I20210106000687
Provider NameAmanda Alonzo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982206835
PECOS PAC ID: 9537574934
Enrollment ID: I20210217001409
Provider NameCourtney H Mcclendon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962098384
PECOS PAC ID: 8628485299
Enrollment ID: I20210326000129
Provider NameChristopher T Rehler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285399451
PECOS PAC ID: 7719376516
Enrollment ID: I20211117001169
Provider NameKristi Lickteig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437770559
PECOS PAC ID: 9537552211
Enrollment ID: I20220201000694
Provider NameSarah D Lange
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629332978
PECOS PAC ID: 0547654923
Enrollment ID: I20220301000727
Provider NameMegan K Byram
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386133130
PECOS PAC ID: 1850779208
Enrollment ID: I20220526000467
Provider NameYi Ying Law
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770006371
PECOS PAC ID: 8921371329
Enrollment ID: I20220526001646
Provider NameDaniel J Ortiz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144857855
PECOS PAC ID: 5890119028
Enrollment ID: I20230510001690
Provider NameCheryl Headley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306542824
PECOS PAC ID: 8527424654
Enrollment ID: I20230516002507
Provider NameMacole J Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073224630
PECOS PAC ID: 7113384421
Enrollment ID: I20230601000241
Provider NameDebora Higginbotham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578822243
PECOS PAC ID: 1759741309
Enrollment ID: I20230714001726
Provider NameRachel Reis Da Silva
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215290614
PECOS PAC ID: 1759743305
Enrollment ID: I20230814001540
Provider NameJanden Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902501174
PECOS PAC ID: 8426496761
Enrollment ID: I20240404002985
Provider NameCassandra Roach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790552784
PECOS PAC ID: 4880032135
Enrollment ID: I20240404003385
Provider NameLaura Steenburgen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639855646
PECOS PAC ID: 7214391325
Enrollment ID: I20240429001869
Provider NameShani R Mccurry
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063438802
PECOS PAC ID: 8729975404
Enrollment ID: I20240520003249
Provider NameSteven Murdock
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831739424
PECOS PAC ID: 0446692198
Enrollment ID: I20240524003435
Provider NameSasha Anne Kibler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265883664
PECOS PAC ID: 2769920602
Enrollment ID: I20240809003373
Provider NameLori Bancroft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245054659
PECOS PAC ID: 4183151939
Enrollment ID: I20241218002521
Provider NameDeidra Johnson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1568655637
PECOS PAC ID: 4183153885
Enrollment ID: I20250124002476
Provider NameNicole Firestone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962210005
PECOS PAC ID: 2466974043
Enrollment ID: I20250324002785

Reviews and Comments

Clinic/Center in Humboldt, KS

Southeast Kansas Mental Health Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1106 S 9th St, Humboldt, KS 66748
Phone: 620-473-2241    Fax: 620-473-3334
Southeast Kansas Mental Health Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1106 S 9th St, Humboldt, KS 66748
Phone: 620-473-2241    Fax: 620-473-3334

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.