LIBERAL OUTPATIENT ADDICTION TREATMENT CENTER (NPI# 1194213918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194213918 |
| Entity Type | Organization |
| Organization Name | LIBERAL OUTPATIENT ADDICTION TREATMENT CENTER |
| Practice Address |
504 N Kansas Ave Ste B Liberal KS 67901 |
| Mailing Address |
Rr 2 Box 26a Hooker OK 73945-9619 |
| Practice Telephone | 6206045111 |
| Practice Fax Number | 8556872518 |
| Mailing Telephone | 8032609897 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-08-04 |
| Authorized Official Name | DR. BRENDA LEONA RIDGEWAY (COUNSELOR/OWNER) |
| Authorized Official Telephone | 8032609897 |
| Authorized Official Credential | PHD, LCAC, LLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
525 | KS | Behavioral Health & Social Service Providers |
| Street Address |
504 N KANSAS AVE STE B |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417386509 | Heartland's Hope Mental Health Center, LLC | Speech-Language Pathologist | 504 N Kansas Ave Ste B, Liberal, KS 67901-3346 | 2013-11-08 |
| 1144798547 | Dan William Miller | Counselor | 504 N Kansas Ave Ste B, Liberal, KS 67901-3346 | 2018-11-05 |
| 1467957332 | Brenda Leona Ridgeway | Counselor | 504 N Kansas Ave Ste B, Liberal, KS 67901-3346 | 2018-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639328644 | William J Bernhardt-purdy | Counselor | 220 Cornell Ave, Liberal, KS 67901-3006 | 2008-09-15 |
| 1043401474 | Seward County | Counselor | 517 N Washington Ave, Liberal, KS 67901-3428 | 2007-08-09 |
| 1467957332 | Brenda Leona Ridgeway | Counselor | 504 N Kansas Ave Ste B, Liberal, KS 67901-3346 | 2018-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700226 | Spencer Shaver | Counselor | 8645 Hauser St, Lenexa, KS 66215-4507 | 2020-11-04 |
| 1871192435 | Shiloah M Feighner | Counselor | 419 Sw 29th, Topeka, KS 66611-1105 | 2020-10-23 |
| 1972101871 | Shara Breeze | Counselor | 815 S Clairborne Rd Ste 225, Olathe, KS 66062-1790 | 2020-10-13 |
| 1235748294 | Compassionate Counseling Services | Counselor | 1807 E Mary St Ste 6, Garden City, KS 67846-3877 | 2020-07-27 |
| 1679194989 | Matthew Rathbun | Counselor | 551 S Holland Ln, Wichita, KS 67209-2007 | 2020-04-28 |
| 1821626987 | Deno Larry Gregory | Counselor | 8600 W 95th St Ste 104-7, Overland Park, KS 66212-3240 | 2020-04-01 |
| 1275168064 | Katherine Fibert | Counselor | 9019 W 10th St N # W10th, Wichita, KS 67212-4020 | 2020-03-12 |
| 1821648353 | Kaye Lynn Scott-roy | Counselor | 285 H Rd, Stockton, KS 67669-8889 | 2019-09-17 |
| 1457907214 | Demay Grunden | Counselor | 200 S Santa Fe Ave Ste 4, Salina, KS 67401-3963 | 2019-08-16 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.