AVENUES FOR CHANGE
NPI 1114630076
Counselor - Mental Health in Great Bend, KS

Q: What is Avenues For Change's NPI number?

The NPI number for Avenues For Change is 1114630076. It was assigned to this organization in the NPPES registry on January 5, 2023.

Q: What is Avenues For Change's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since January 05, 2023

809 S PATTON RD, GREAT BEND, KS 67530(620) 796-2206(866) 288-1782 Get Directions Write a Review

NPPES record last updated: April 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2024, Jan 5, 2023 (2 updates tracked since 2023).

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About Avenues For Change NPPES

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

AVENUES FOR CHANGE (NPI 1114630076) is a healthcare organization registered as a mental health in Great Bend, Kansas and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Manhattan and lists Kelley Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1114630076

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameAVENUES FOR CHANGE

Location Address809 S PATTON RDGreat Bend, KS 67530-4620

Mailing AddressPo Box 1223Great Bend, KS 67530-1223 · (620) 796-2206 · Fax (866) 288-1782

Phone(620) 796-2206

Fax(866) 288-1782

Organization SubpartNo

Authorized OfficialKelley JohnsonPresident · (620) 796-2206

Enumeration DateJanuary 5, 2023

Last NPPES UpdateApril 14, 20242 updates tracked since enumeration

NPPES CertifiedApril 14, 2024

✔ NPI 1114630076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

809 S PATTON RD, Great Bend, KS 67530

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Other Names 1

Former Legal Business NameAvenues For Change

Secondary Practice Location 1

Location 12029 Vanesta PlManhattan, KS 66503-0447 · Phone (620) 796-2206

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA HENSON LPC

Counselor (Professional)