FAMILY COUNSELING AND PSYCHOLOGICAL SERVICES, LLC (NPI# 1619331519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619331519 |
| Entity Type | Organization |
| Organization Name | FAMILY COUNSELING AND PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
6611 E Central Ave Suite C Wichita KS 67206-1937 |
| Mailing Address |
6611 E Central Ave Ste C Wichita KS 67206-1937 |
| Practice Telephone | 3162604559 |
| Practice Fax Number | 3163587713 |
| Mailing Telephone | 3162604559 |
| Mailing Fax Number | 3163587713 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | MR. SHAWN PATRICK PADGETT (LICENSED CLINICAL PSYCHOTHERAPIST) |
| Authorized Official Telephone | 3166919711 |
| Authorized Official Credential | MS, LCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
LCP-927 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200429840G | 05 | |
| KS | 200429840D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1855 N Webb Rd, Wichita, KS 672063413 | 3166919711 |
| Street Address |
6611 E CENTRAL AVE SUITE C |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770565400 | Mila Lee Means | Specialist | 6611 E Central Ave, Suite E, Wichita, KS 67206-1921 | 2005-11-17 |
| 1225312614 | Trinity Medical, LLC | Durable Medical Equipment & Medical Supplies | 6611 E Central Ave, Ste. D, Wichita, KS 67206-1921 | 2011-10-04 |
| 1417085317 | Harry J. Kouri, Jr., D.d.s.,p.a. | Dentist | 6611 E Central Ave, Wichita, KS 67206-1937 | 2007-03-01 |
| 1659388817 | Dwight L Lindholm | Pediatrics | 6611 E Central Ave, Ste #g, Wichita, KS 67206-1937 | 2006-08-01 |
| 1811924681 | Robert C Young | Anesthesiology | 6611 E Central Ave, Ste C, Wichita, KS 67206-1937 | 2006-06-27 |
| 1023051380 | Cypress Anesthesia Professionals, LLC | Anesthesiology | 6611 E Central Ave, Siute C, Wichita, KS 67206-1937 | 2006-06-14 |
| 1366480691 | Ofelia Harrison | Anesthesiology | 6611 E Central Ave, Wichita, KS 67206-1937 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623063 | Psychdoc LLC | Psychologist | 5600 W 95th St Ste 216, Overland Park, KS 66207-2968 | 2020-09-15 |
| 1215570965 | Chelsey Leclear | Psychologist | 333 W 15th St, Liberal, KS 67901-2455 | 2019-10-25 |
| 1194283283 | Ashley J Cook | Psychologist | 7500 College Blvd Ste 500, Overland Park, KS 66210-4043 | 2019-03-07 |
| 1801364906 | Kathleen I Diaz | Psychologist | 200 Maine St Ste A, Lawrence, KS 66044-1396 | 2018-11-06 |
| 1316300387 | Coral Jacobson | Psychologist | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2016-03-29 |
| 1457685158 | Martha C Allega | Psychologist | 10900 W 86th St Ste 150, Lenexa, KS 66214-3608 | 2009-09-28 |
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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.