CHRISTIAN COUNSELING CENTER OF WICHITA, INC (NPI# 1689616062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689616062 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COUNSELING CENTER OF WICHITA, INC |
| Practice Address |
333 Greenwood St Wichita KS 67211-1844 |
| Practice Telephone | 3162648800 |
| Practice Fax Number | 3162648809 |
| Mailing Telephone | 3162648800 |
| Mailing Fax Number | 3162648809 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK D. GLOVER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3162648800 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | 622 | KS | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 219 | KS | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
2271 | KS | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
1957 | KS | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
2526 | KS | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
642 | KS | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
643 | KS | Behavioral Health & Social Service Providers |
| Street Address |
333 GREENWOOD ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393179 | Mendy Logan | Counselor | 1999 N Amidon Ave Ste 373, Wichita, KS 67203-2154 | 2020-10-09 |
| 1043850803 | Evelyn Wright | Counselor | 1034 S Burrus St, Wichita, KS 67207-3623 | 2020-01-09 |
| 1356982516 | Dynamic Counseling Services LLC | Counselor | 572 S Oliver St, Wichita, KS 67218-2351 | 2019-09-30 |
| 1376001677 | Holly Lynn Paine | Counselor | 3446 S Ida St, Wichita, KS 67216-1558 | 2019-03-05 |
| 1043712912 | Creative Bliss Therapy | Counselor | 115 Waterman Street, Wichita, KS 67202 | 2018-03-06 |
| 1467960898 | Chelsey Johnson Thornhill | Counselor | 4601 E Douglas Ave Ste 209, Wichita, KS 67218-1031 | 2018-01-19 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1922557511 | Tamell Jason-heitman | Counselor | 1333 N Broadway Ave Ste B, Wichita, KS 67214-2894 | 2016-09-24 |
| 1033663935 | Janelle Osborn | Counselor | 2205 N Parkridge Ct, Wichita, KS 67205-2004 | 2016-08-08 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on CHRISTIAN COUNSELING CENTER OF WICHITA, INC.
| 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.