OrganizationActive
Center for Counseling and Consultation
NPI 1104862549 · Mental Health Clinic/Center (Including Community Mental Health Center) · Great Bend, KS
Provider details
- NPI number
- 1104862549
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Stang, Clin Dir(620) 792-2544
- License
- 004-06302011 (KS)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 004-06302011 (KS)
Ambulatory Health Care Facilities
Practice location
5815 Broadway Ave
Great Bend, KS 67530-3123
Phone: (620) 792-2544
Fax: (620) 792-7052
Approximate (ZIP-level) locationGet directions
Mailing address
5815 Broadway Ave
Great Bend, KS 67530-3123
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2015-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.