Avenues for Change
NPI 1114630076 · Mental Health Counselor · Great Bend, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avenues for Change is a Mental Health Counselor organization in Great Bend, KS (NPI 1114630076).
Provider details
- NPI number
- 1114630076
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kelley Johnson, President(620) 796-2206
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Former legal business name
- Avenues for Change
- Former legal business name
- Avenues for Change
Additional practice locations (1)
- 2029 Vanesta PlManhattan, KS 66503-0447Phone: (620) 796-2206
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2024-04-14
- Certified
- 2024-04-14
Frequently asked questions
- What is Avenues for Change's NPI number?
- Avenues for Change's National Provider Identifier (NPI) is 1114630076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avenues for Change?
- Avenues for Change is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Avenues for Change located?
- Avenues for Change's practice location on file with NPPES is 809 S Patton Rd, Great Bend, KS 67530-4620.
- What is Avenues for Change's phone number?
- The practice phone number listed in the NPPES registry for Avenues for Change is (620) 796-2206.
- Does Avenues for Change accept Medicare?
- Avenues for Change is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Avenues for Change?
- The authorized official listed on Avenues for Change's NPPES record is Kelley Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avenues for Change's NPI active?
- Yes — Avenues for Change's NPI (1114630076) is active in the NPPES registry as of the last update on 2024-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.