Southeast Kansas Mental Health Center - Medicare Mental Health Clinic in Humboldt, KS

Southeast Kansas Mental Health Center is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Humboldt, Kansas. The current practice location for Southeast Kansas Mental Health Center is 1106 S 9th St, Humboldt, Kansas. For appointments, you can reach them via phone at (620) 473-2241. The mailing address for Southeast Kansas Mental Health Center is 1106 S 9th St, P.o. Box 39, Humboldt, Kansas and phone number is (620) 473-2241.

Southeast Kansas Mental Health Center is licensed to practice in Kansas (license number 025). The clinic also participates in the medicare program and its NPI number is 1467414771. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (620) 473-2241.

Contact Information

Southeast Kansas Mental Health Center
1106 S 9th St
Humboldt
KS 66748-1934
(620) 473-2241
(620) 473-3334

Mental Health Clinic Profile

Full NameSoutheast Kansas Mental Health Center
SpecialityClinic/Center
Location1106 S 9th St, Humboldt, Kansas
Authorized Official Name and PositionShana Bennett (DIRECTOR OF OFFICE OPERATIONS)
Authorized Official Contact6203658641
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeast Kansas Mental Health Center
1106 S 9th St
P.o. Box 39
Humboldt
KS 66748-1934

Ph: (620) 473-2241
Southeast Kansas Mental Health Center
1106 S 9th St
Humboldt
KS 66748-1934

Ph: (620) 473-2241

NPI Details:

NPI Number1467414771
Provider Enumeration Date04/03/2006
Last Update Date05/03/2024
Certification Date05/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3870562879
Medicare Enrollment IDO20040927001008

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Medical Identifiers

Medical identifiers for Southeast Kansas Mental Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467414771NPI-NPPES
100098050AMedicaidKS
006901OtherKSBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 025 (Kansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southeast Kansas Mental Health Center acts as a billing entity for following providers:
Provider NameBasuviah Shanker
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821055534
PECOS PAC ID: 7315844230
Enrollment ID: I20031217000954

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Provider NameTimothy C Spears
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639173156
PECOS PAC ID: 5597673327
Enrollment ID: I20040220000487

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Provider NamePamela R Allen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740381813
PECOS PAC ID: 3870565724
Enrollment ID: I20040811000433

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Provider NameGuillermo R Ibarra
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265497424
PECOS PAC ID: 3173560828
Enrollment ID: I20050413001113

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Provider NameJohn A Helton
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407908023
PECOS PAC ID: 4789628876
Enrollment ID: I20050620000662

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Provider NameKathryn K Newman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841381894
PECOS PAC ID: 3577631498
Enrollment ID: I20081006000310

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Provider NameElizabeth D Garton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306037429
PECOS PAC ID: 8628146545
Enrollment ID: I20081006000340

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Provider NameLila M Peckham Wichman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366409427
PECOS PAC ID: 3375669112
Enrollment ID: I20100929000534

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Provider NameAntigone M Means
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033261664
PECOS PAC ID: 4082730825
Enrollment ID: I20100929000560

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Provider NameAmy A White Blakesley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588716963
PECOS PAC ID: 2567588304
Enrollment ID: I20100929000662

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Provider NameDouglas E Wright
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083766307
PECOS PAC ID: 8729104575
Enrollment ID: I20100929000693

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Provider NameJanalin Taylor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144372764
PECOS PAC ID: 1658504998
Enrollment ID: I20140512001404

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PECOS PAC ID: 7517286172
Enrollment ID: I20150501001547

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Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609368075
PECOS PAC ID: 0345590725
Enrollment ID: I20180905002849

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Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1326453879
PECOS PAC ID: 1052536034
Enrollment ID: I20200722001804

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Provider TypePractitioner - Clinical Social Worker
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Provider TypePractitioner - Nurse Practitioner
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Enrollment ID: I20210326000129

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Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437770559
PECOS PAC ID: 9537552211
Enrollment ID: I20220201000694

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Provider NameSarah D Lange
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629332978
PECOS PAC ID: 0547654923
Enrollment ID: I20220301000727

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Provider NameMegan K Byram
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386133130
PECOS PAC ID: 1850779208
Enrollment ID: I20220526000467

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Provider NameDaniel J Ortiz
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1144857855
PECOS PAC ID: 5890119028
Enrollment ID: I20230510001690

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Provider NameCheryl Headley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306542824
PECOS PAC ID: 8527424654
Enrollment ID: I20230516002507

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Prebiotic supplement may be effective alternative to reduce GI disturbances in autistic children

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Read more Medical News

› Verified 9 days ago

Provider NameMacole J Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073224630
PECOS PAC ID: 7113384421
Enrollment ID: I20230601000241

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› Verified 9 days ago

Provider NameDebora Higginbotham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578822243
PECOS PAC ID: 1759741309
Enrollment ID: I20230714001726

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› Verified 9 days ago

Provider NameRachel Reis Da Silva
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215290614
PECOS PAC ID: 1759743305
Enrollment ID: I20230814001540

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› Verified 9 days ago

Clinic/Center in Humboldt, KS

Southeast Kansas Mental Health Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1106 S 9th St, Humboldt, KS 66748
Phone: 620-473-2241    Fax: 620-473-3334
Southeast Kansas Mental Health Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1106 S 9th St, Humboldt, KS 66748
Phone: 620-473-2241    Fax: 620-473-3334
Southeast Kansas Mental Health Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1106 S 9th St, Humboldt, KS 66748
Phone: 620-473-2241    Fax: 620-473-3334

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