FOUR COUNTY MENTAL HEALTH CENTER INC (NPI# 1841290251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841290251 |
| Entity Type | Organization |
| Organization Name | FOUR COUNTY MENTAL HEALTH CENTER INC |
| Practice Address |
3751 W Main St Independence KS 67301-8446 |
| Mailing Address |
Po Box 688 Independence KS 67301-0688 |
| Practice Telephone | 6203311748 |
| Practice Fax Number | 6203321940 |
| Mailing Telephone | 6203311748 |
| Mailing Fax Number | 6203321940 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2011-11-11 |
| Authorized Official Name | MR. GREG HENNEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6203311748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100097980A | 05 |
| Street Address |
3751 W MAIN ST |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-8446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554080 | Lauren Mautz | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-10-06 |
| 1437766946 | Hernan Ensaldo Diaz | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-09-29 |
| 1861008633 | Rhyder Bruce | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2020-09-17 |
| 1083257943 | Rachel Whitmore | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2019-10-23 |
| 1619522851 | Kimberly Kennedy | Counselor | 3751 W Main St, Independence, KS 67301-8446 | 2019-08-05 |
| 1497315055 | Kendra Alford | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2019-06-17 |
| 1306327572 | Christina Tinsley | Social Worker | 3751 W Main St, Independence, KS 67301-8446 | 2018-08-27 |
| 1083195309 | Meegan Dodson | Registered Nurse | 3751 W Main St, Independence, KS 67301-8446 | 2018-08-24 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| 1114425733 | Chelsey Friedrich | Psychologist | 3751 W Main St, Independence, KS 67301-8446 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1811205214 | Johnathan A Rodriquez | Nurse Practitioner | 1415 N Penn Ave, Independence, KS 67301 | 2010-09-20 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873052 | Lee Harris Counseling LLC | Clinic/Center | 1404 N Cherokee St, Independence, MO 64058-1106 | 2019-04-16 |
| 1174634240 | Lds Family Services | Clinic/Center | 517 W Walnut St, Suite 2, Independence, MO 64050-3632 | 2006-08-31 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1255303335 | Comprehensive Mental Health Services Inc | Clinic/Center | 17844 E. 23rd. St., Independence, MO 64057-1805 | 2006-02-03 |
| 1578192308 | Memoir Counseling, LLC | Clinic/Center | 4731 S Cochise Dr Ste 206, Independence, MO 64055-6975 | 2020-04-03 |
| 1033288535 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-11-07 |
| 1396825782 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
| 1598845984 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
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| 1255941811 | Revival Counseling & Recovery | Clinic/Center | 205 S 4th St Ste C6, Manhattan, KS 66502-6168 | 2020-08-07 |
| 1942826003 | Courage Counseling LLC | Clinic/Center | 729 1/2 Massachusetts St Ste 214, Lawrence, KS 66044-2257 | 2020-06-24 |
| 1225669377 | Meas LLC | Clinic/Center | 9516 Lowell Ave, Overland Park, KS 66212-3301 | 2020-01-28 |
| 1316577497 | Sense of Self Therapy LLC | Clinic/Center | 10100 W 87th St Ste 118, Overland Park, KS 66212-4628 | 2020-01-17 |
| 1619441680 | Jkc Psych LLC | Clinic/Center | 8100 E 22nd St N Ste 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
| 1467939124 | Alleviation Behavioral Health Care, LLC | Clinic/Center | 4123b Sw Twilight Dr, Topeka, KS 66614-3403 | 2018-07-25 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
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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.