| Wyandot Center For Community Behavioral Healthcare, Inc. | |
|
1301 N 47th St Kansas City KS 66102-1705 | |
| (913) 287-0007 | |
| (913) 233-3350 |
| Full Name | Wyandot Center For Community Behavioral Healthcare, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1301 N 47th St, Kansas City, Kansas |
| Authorized Official Name and Position | Deborah Maiwald (CEO) |
| Authorized Official Contact | 9132333300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyandot Center For Community Behavioral Healthcare, Inc. 757 Armstrong Ave Kansas City KS 66101-2701 Ph: (913) 233-3300 | Wyandot Center For Community Behavioral Healthcare, Inc. 1301 N 47th St Kansas City KS 66102-1705 Ph: (913) 287-0007 |
| NPI Number | 1629159389 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 5496745325 |
|---|---|
| Medicare Enrollment ID | O20051109000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629159389 | NPI | - | NPPES |
| 30003913810001 | Medicaid | KS | |
| 100098080C | Medicaid | KS | |
| 100098080A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Kansas) | Primary |
| Provider Name | Deborah A Paarman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093871915 PECOS PAC ID: 9638163652 Enrollment ID: I20051103000234 |
| Provider Name | Kristin Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972529709 PECOS PAC ID: 6406955533 Enrollment ID: I20070629000559 |
| Provider Name | Mark A Cannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720169295 PECOS PAC ID: 6204833379 Enrollment ID: I20121020000016 |
| Provider Name | Cord Huston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710114715 PECOS PAC ID: 7719104058 Enrollment ID: I20140811002395 |
| Provider Name | Kristin Antony |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972529709 PECOS PAC ID: 6406955533 Enrollment ID: I20200221000214 |
| Provider Name | Louise Muhozi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114305331 PECOS PAC ID: 1557784022 Enrollment ID: I20200701001213 |
| Provider Name | Paula A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295110286 PECOS PAC ID: 5395088140 Enrollment ID: I20201118002821 |
| Provider Name | Dereck L Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104289339 PECOS PAC ID: 3072858141 Enrollment ID: I20201203003032 |
| Provider Name | Georgette Musanase Kairanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861008732 PECOS PAC ID: 8527470376 Enrollment ID: I20201218001976 |
| Provider Name | Kayana M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760013569 PECOS PAC ID: 7315344371 Enrollment ID: I20210920000232 |
| Provider Name | Emily Durall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366012270 PECOS PAC ID: 9234529546 Enrollment ID: I20211130003015 |
| Provider Name | Connie Putthoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053464297 PECOS PAC ID: 7113996331 Enrollment ID: I20220307000421 |
| Provider Name | Kelsey Hamel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598257305 PECOS PAC ID: 6002201506 Enrollment ID: I20220321000420 |
| Provider Name | Lamanda Tessen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972164150 PECOS PAC ID: 1254726342 Enrollment ID: I20220329000264 |
| Provider Name | Thuan Quach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942945506 PECOS PAC ID: 1759768427 Enrollment ID: I20220518001615 |
| Provider Name | Meshon Pouncil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766599 PECOS PAC ID: 6608249388 Enrollment ID: I20230228000562 |
| Provider Name | Rohit Saha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033560651 PECOS PAC ID: 2264725548 Enrollment ID: I20230419002528 |
| Provider Name | Molly Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710661228 PECOS PAC ID: 1052774023 Enrollment ID: I20230824001825 |
| Provider Name | James Larkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063909166 PECOS PAC ID: 9638529464 Enrollment ID: I20231220001235 |
| Provider Name | Steven Jobe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467111294 PECOS PAC ID: 0143664110 Enrollment ID: I20240217000151 |
| Provider Name | Laura Henness |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265664882 PECOS PAC ID: 3870937840 Enrollment ID: I20240217000167 |
| Provider Name | Jordan Graves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598306888 PECOS PAC ID: 3779929930 Enrollment ID: I20240311000188 |
| Provider Name | Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396288445 PECOS PAC ID: 2860838042 Enrollment ID: I20240311000982 |
| Provider Name | Bronwyn Burkhardt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235667155 PECOS PAC ID: 2264871672 Enrollment ID: I20240418001622 |
| Provider Name | Christina Kirby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326641176 PECOS PAC ID: 4385083658 Enrollment ID: I20240418004129 |
| Provider Name | Monique Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265126676 PECOS PAC ID: 2769823301 Enrollment ID: I20240514000219 |
| Provider Name | Judith A Kotecki-martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508916420 PECOS PAC ID: 1557703881 Enrollment ID: I20240531000995 |
| Provider Name | Kristin L Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699328906 PECOS PAC ID: 9638613094 Enrollment ID: I20240627000526 |
| Provider Name | Paris Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154885382 PECOS PAC ID: 0547704660 Enrollment ID: I20240701001493 |
| Provider Name | Jessica Tullock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760975627 PECOS PAC ID: 5193269223 Enrollment ID: I20240701001864 |
| Provider Name | Leslie Thacker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124378112 PECOS PAC ID: 5799229837 Enrollment ID: I20240701002025 |
| Provider Name | Brandy Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366160459 PECOS PAC ID: 7618412057 Enrollment ID: I20240710002982 |
| Provider Name | Elizabeth Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740955376 PECOS PAC ID: 0840721916 Enrollment ID: I20240930002856 |
| Provider Name | Diane Victory |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124575428 PECOS PAC ID: 7113458860 Enrollment ID: I20241004001654 |
| Provider Name | Abigail Samojla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083347405 PECOS PAC ID: 5294266946 Enrollment ID: I20241004001708 |
| Provider Name | Caroline Cramsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932834652 PECOS PAC ID: 0446782569 Enrollment ID: I20241015000640 |
| Provider Name | Brooke Adamek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629748983 PECOS PAC ID: 6901338037 Enrollment ID: I20241015000989 |
| Provider Name | Ashley Mckinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649968470 PECOS PAC ID: 3072045095 Enrollment ID: I20241016000620 |
| Provider Name | Edward Lobdell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801173190 PECOS PAC ID: 5395277883 Enrollment ID: I20241022004167 |
| Provider Name | Natalia Pesado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982858528 PECOS PAC ID: 0042743478 Enrollment ID: I20241024000303 |
| Provider Name | Haoyu Huang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740025956 PECOS PAC ID: 7315467057 Enrollment ID: I20250225000861 |
| Provider Name | Carol Barry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043369770 PECOS PAC ID: 0143740845 Enrollment ID: I20250225002586 |
| Provider Name | Eriko Her |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215642970 PECOS PAC ID: 9032630488 Enrollment ID: I20250303000651 |
| Provider Name | Clarice Podrebarac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265581920 PECOS PAC ID: 0648791939 Enrollment ID: I20250303002418 |
| Provider Name | Kaela Castonguay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972285807 PECOS PAC ID: 2163943465 Enrollment ID: I20250303002588 |
| Provider Name | Sonya Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649978917 PECOS PAC ID: 2163957366 Enrollment ID: I20250312001017 |
| Provider Name | Susan C Lechliter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194541326 PECOS PAC ID: 8921538745 Enrollment ID: I20250508001429 |
| Provider Name | Kristina Carbrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578281564 PECOS PAC ID: 1850818014 Enrollment ID: I20250510000018 |
| Provider Name | Christine N Barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366971897 PECOS PAC ID: 2668706060 Enrollment ID: I20250510000026 |
| Provider Name | Anjanette Winkler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518143015 PECOS PAC ID: 7113445172 Enrollment ID: I20250514001764 |
| Provider Name | Andrea Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093599862 PECOS PAC ID: 3678092756 Enrollment ID: I20250521003071 |
| Provider Name | Marisa Dodge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942069885 PECOS PAC ID: 3476062399 Enrollment ID: I20250603000822 |
Wyandot Center For Behavioral Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 N 47th St, Kansas City, KS 66102 Phone: 913-287-0007 | |
Thrive Restorative Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1911 North 62nd Street, Kansas City, KS 66102 Phone: 913-303-7416 | |
Kansas Treatment Servics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 N 5th St, Kansas City, KS 66101 Phone: 913-342-0888 Fax: 913-342-2644 | |
Psychiatric Care Professionals P.a Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 | |
Kvc Hospitals Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Brenner Dr, Kansas City, KS 66104 Phone: 913-322-4900 | |
Best Choice Therapy Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1232 N 79th St, Kansas City, KS 66112 Phone: 913-287-3500 Fax: 913-287-5559 | |
New Perspectives Counseling, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 S 18th St, Ste 200, Kansas City, KS 66102 Phone: 801-502-8492 |