Countryside Counseling Center, LLC
NPI 1104100833 · Community/Behavioral Health Agency · Independence, KS
Countryside Counseling Center, LLC is a Community/Behavioral Health Agency organization in Independence, KS (NPI 1104100833).
Provider details
- NPI number
- 1104100833
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Debra Hastings, Executive Director(620) 577-4955
- License
- 103T00000X (KS)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-09-29
- Last updated
- 2011-09-29
Frequently asked questions
- What is Countryside Counseling Center, LLC's NPI number?
- Countryside Counseling Center, LLC's National Provider Identifier (NPI) is 1104100833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Counseling Center, LLC?
- Countryside Counseling Center, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Countryside Counseling Center, LLC located?
- Countryside Counseling Center, LLC's practice location on file with NPPES is 601 Morningside Dr, Independence, KS 67301-1932.
- What is Countryside Counseling Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Counseling Center, LLC is (620) 577-4955.
- Who is the authorized official for Countryside Counseling Center, LLC?
- The authorized official listed on Countryside Counseling Center, LLC's NPPES record is Debra Hastings, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Counseling Center, LLC's NPI active?
- Yes — Countryside Counseling Center, LLC's NPI (1104100833) is active in the NPPES registry as of the last update on 2011-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.