| The Guidance Center, Inc | |
|
500 Limit St Leavenworth KS 66048-4435 | |
| (913) 682-5118 | |
| (913) 682-4664 |
| Full Name | The Guidance Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 500 Limit St, Leavenworth, Kansas |
| Authorized Official Name and Position | Keith Rickard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9136825118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Guidance Center, Inc 500 Limit St Leavenworth KS 66048-4435 Ph: (913) 682-5118 | The Guidance Center, Inc 500 Limit St Leavenworth KS 66048-4435 Ph: (913) 682-5118 |
| NPI Number | 1841262839 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 03/28/2018 |
| Medicare PECOS PAC ID | 6507859063 |
|---|---|
| Medicare Enrollment ID | O20040408000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841262839 | NPI | - | NPPES |
| 100117700A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 019 (Kansas) | Primary |
| Provider Name | Adam Buhman-wiggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396712071 PECOS PAC ID: 7810983921 Enrollment ID: I20040423000452 |
| Provider Name | Johnette Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801963137 PECOS PAC ID: 4688682313 Enrollment ID: I20060322000515 |
| Provider Name | Jeffrey S Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811905078 PECOS PAC ID: 3678675923 Enrollment ID: I20070216000551 |
| Provider Name | Debra Ann Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316108566 PECOS PAC ID: 7911071253 Enrollment ID: I20080804000555 |
| Provider Name | Carol M Kummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093041105 PECOS PAC ID: 7810038155 Enrollment ID: I20100108000088 |
| Provider Name | Daniel L Wise |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245465558 PECOS PAC ID: 0446389993 Enrollment ID: I20100521000761 |
| Provider Name | Erin Walley Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407166739 PECOS PAC ID: 0042404329 Enrollment ID: I20101101000219 |
| Provider Name | William Avery Warnes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710937636 PECOS PAC ID: 5395711485 Enrollment ID: I20110629000362 |
| Provider Name | Mary H Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801109897 PECOS PAC ID: 5294950960 Enrollment ID: I20140714001425 |
| Provider Name | Hsiangfeng Tsai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164806634 PECOS PAC ID: 6103132253 Enrollment ID: I20150903001330 |
| Provider Name | Mary B Werring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083781884 PECOS PAC ID: 0244548493 Enrollment ID: I20160119001989 |
| Provider Name | Nickolas A Macaluso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588060362 PECOS PAC ID: 0547567083 Enrollment ID: I20160328001523 |
| Provider Name | Jason Malousek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750537031 PECOS PAC ID: 6507151354 Enrollment ID: I20160818001576 |
| Provider Name | Lindsey Colburn Malousek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184864894 PECOS PAC ID: 4789964594 Enrollment ID: I20161214000974 |
| Provider Name | Wichulee Semachai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720511462 PECOS PAC ID: 6305118225 Enrollment ID: I20170828000312 |
| Provider Name | Julia Stegeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952742959 PECOS PAC ID: 7214295963 Enrollment ID: I20171229001659 |
| Provider Name | Kristopher Creten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912277732 PECOS PAC ID: 5395082937 Enrollment ID: I20190121001220 |
| Provider Name | Heather R Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420916 PECOS PAC ID: 9537580303 Enrollment ID: I20200603000313 |
| Provider Name | Blaine R Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285235341 PECOS PAC ID: 8224442629 Enrollment ID: I20210126002552 |
| Provider Name | Mallory Holman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306338843 PECOS PAC ID: 5890181937 Enrollment ID: I20220330000085 |
| Provider Name | Benjamin Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093207078 PECOS PAC ID: 2466823349 Enrollment ID: I20230201001762 |
| Provider Name | Miju Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083072680 PECOS PAC ID: 8123324472 Enrollment ID: I20230406000909 |
| Provider Name | Ellie Kobashigawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710670294 PECOS PAC ID: 2567825169 Enrollment ID: I20230830001163 |
| Provider Name | Ashley Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740882349 PECOS PAC ID: 7810351970 Enrollment ID: I20230908000819 |
| Provider Name | David A Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780005561 PECOS PAC ID: 5092159582 Enrollment ID: I20240223001671 |
| Provider Name | Mark Tolmachoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316481096 PECOS PAC ID: 3971948241 Enrollment ID: I20240226003395 |
| Provider Name | Laurie Loughry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952466369 PECOS PAC ID: 7810332111 Enrollment ID: I20240227000208 |
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