JCMHC CHRONIC CARE CLINIC
NPI 1548989262
General Practice in Shawnee, KS

Active since August 25, 2022CLIA 17D2310393 · Waiver
6440 NIEMAN RD, SHAWNEE, KS 66203(913) 826-4200 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2023, Mar 29, 2023, Aug 25, 2022 (3 updates tracked since 2022).

About Jcmhc Chronic Care Clinic NPPES

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

JCMHC CHRONIC CARE CLINIC (NPI 1548989262) is a healthcare organization registered as a general practice in Shawnee, Kansas and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 2, 2028, maintains a secondary practice location in Olathe, and lists Lydia Longoria, Qi Representative, as its authorized official.

NPPES Registry Identity

NPI1548989262
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJOHNSON COUNTY MENTAL HEALTH
Location Address6440 NIEMAN RDShawnee, KS 66203-3326
Mailing Address6000 Lamar Ave Ste 130Mission, KS 66202-3234
Organization SubpartYesParent: Johnson County Mental Health Center
Authorized OfficialLydia LongoriaQi Representative · (913) 826-4200
Enumeration DateAugust 25, 2022
Last NPPES UpdateJuly 18, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1548989262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
6440 NIEMAN RD, Shawnee, KS 66203

Other Names 1

Doing Business AsJcmhc Chronic Care Clinic

Secondary Practice Location 1

Location 11125 W Spruce StOlathe, KS 66061-3123 · Phone (913) 826-4200

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jcmhc Chronic Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jcmhc Chronic Care Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1689327066
6440 NIEMAN RD
Shawnee, KS 66203
(913) 826-4200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2310393

Jcmhc Chronic Care Clinic · Shawnee, KS
Active · expires Sep 2, 2028
CLIA Number17D2310393
Laboratory TypeChronic Care For Jcmhc
Certificate Effective DateSeptember 3, 2026
Certificate Expiration DateSeptember 2, 2028
Laboratory DirectorSobia Shaffie
Laboratory Phone(913) 826-4200
Laboratory LocationJcmhc Chronic Care Clinic6440 Nieman Road (rooms 7c,10, 12), Shawnee, KS 66203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D2312604

Jcmhc Chronic Care Clinic · Olathe, KS
Expired · Oct 15, 2026
CLIA Number17D2312604
Laboratory TypeChronic Care Clinic
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorSobia Shaffie
Laboratory Phone(913) 826-4200
Laboratory LocationJcmhc Chronic Care Clinic1125 W Spruce St, Rooms 309, 315A, 318, 321, Olathe, KS 66061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Johnson County Mental Health's NPI number?

The NPI number for Johnson County Mental Health is 1548989262. It was assigned to this organization in the NPPES registry on August 25, 2022. The provider is doing business as Jcmhc Chronic Care Clinic.

Where is Johnson County Mental Health located?

Johnson County Mental Health is located at 6440 Nieman Rd, Shawnee, KS 66203. The listed phone number is (913) 826-4200.

What is Johnson County Mental Health's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Johnson County Mental Health enrolled in Medicare?

Yes. Johnson County Mental Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson County Mental Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Johnson County Mental Health. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Johnson County Mental Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2310393) is associated with this NPI, valid through September 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Johnson County Mental Health was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.