COUNTRYSIDE COUNSELING CENTER, LLC
NPI 1104100833
Community/Behavioral Health in Independence, KS

Q: What is Countryside Counseling Center, LLC's NPI number?

The NPI number for Countryside Counseling Center, LLC is 1104100833. It was assigned to this organization in the NPPES registry on September 29, 2011.

Q: What is Countryside Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 29, 2011

601 MORNINGSIDE DR, INDEPENDENCE, KS 67301(620) 577-4955(620) 577-4956 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Countryside Counseling Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE COUNSELING CENTER, LLC (NPI 1104100833) is a healthcare organization registered as a community/behavioral health in Independence, Kansas and active in the NPI registry since September 2011. The organization lists Debra Lynn Hastings, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104100833

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOUNTRYSIDE COUNSELING CENTER, LLC

Location Address601 MORNINGSIDE DRIndependence, KS 67301-1932

Mailing Address601 Morningside DrIndependence, KS 67301-1932 · (620) 577-4955 · Fax (620) 577-4956

Phone(620) 577-4955

Fax(620) 577-4956

Organization SubpartNo

Authorized OfficialDebra Lynn HastingsExecutive Director · (620) 577-4955

Enumeration DateSeptember 29, 2011

✔ NPI 1104100833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in KS · 103T00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

601 MORNINGSIDE DR, Independence, KS 67301

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Other Identifiers 1

Medicaid200432330CKS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Counseling Center, LLC's NPI number?

The NPI number for Countryside Counseling Center, LLC is 1104100833. It was assigned to this organization in the NPPES registry on September 29, 2011.

Where is Countryside Counseling Center, LLC located?

Countryside Counseling Center, LLC is located at 601 Morningside Dr, Independence, KS 67301. The listed phone number is (620) 577-4955.

What is Countryside Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Countryside Counseling Center, LLC was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.