SOUTHEAST KANSAS INDEPENDENT LIVING RESOURCE CENTER INC NPI 1275683260

NPI Information

NPI: 1275683260
Provider Name: SOUTHEAST KANSAS INDEPENDENT LIVING RESOURCE CENTER INC
Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 17D0950295

Address:
1801 MAIN ST
PARSONS, KS
ZIP 67357
Phone: (620) 421-5502
Get Directions

SOUTHEAST KANSAS INDEPENDENT LIVING RESOURCE CENTER INC is a counselor in Parsons, KS. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SOUTHEAST KANSAS INDEPENDENT LIVING RESOURCE CENTER INC NPI is 1275683260. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1801 MAIN ST
PARSONS, KS
ZIP 67357-367
Phone: (620) 421-5502
Fax: (620) 421-3705

The provider's authorized official is Shari J Coatney .
The authorized official title is Director Ceo and has the following contact phone number (620) 421-5502.

The CLIA number assigned to this NPI record is 17D0950295 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 1/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	251B00000X	Case Management		No
3	251E00000X	Home Health		No
4	332B00000X	Durable Medical Equipment & Medical Supplies		No
5	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
6	101Y00000X	Counselor		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100021850 D	MEDICAID	KANSAS
2	100025230 A	MEDICAID	KANSAS
3	100021850 A	MEDICAID	KANSAS
4	100021850 B	MEDICAID	KANSAS
5	100042860 A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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