AVENUES FOR CHANGE
NPI 1114630076
Counselor - Mental Health in Great Bend, KS
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avenues For Change is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Avenues For Change, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
Where is Avenues For Change located?
Avenues For Change is located at 809 S Patton Rd, Great Bend, KS 67530. The listed phone number is (620) 796-2206.
What is Avenues For Change's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Avenues For Change enrolled in Medicare?
Yes. Avenues For Change is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avenues For Change?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Avenues For Change. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (9), Clinical Social Worker (3) and Marriage and Family Therapist (1). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Avenues For Change accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Avenues For Change as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Avenues For Change was last updated on April 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Avenues For Change · NPI 1114630076
Mental Health organization in Great Bend, Kansas. Organization record, active in the CMS NPPES registry since January 5, 2023.
## Identity
- **NPI:** 1114630076 (Entity type: Organization)
- **Enumerated:** January 5, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kelley Johnson, PRESIDENT
## Practice location
- **Address:** 809 S PATTON RD, Great Bend, KS 67530-4620
- **Phone:** (620) 796-2206 · **Fax:** (866) 288-1782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (9), Clinical Social Worker (3), Marriage and Family Therapist (1); 9 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114630076) · Data from the CMS NPPES public registry.