Self Connect Wellness, LLC
NPI 1396601084 · Adult Mental Health Clinic/Center · Hiawatha, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Self Connect Wellness, LLC is a Adult Mental Health Clinic/Center organization in Hiawatha, KS (NPI 1396601084).
Provider details
- NPI number
- 1396601084
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dustin Williams, Co-Owner(785) 741-1708
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-12-26
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Self Connect Wellness, LLC's NPI number?
- Self Connect Wellness, LLC's National Provider Identifier (NPI) is 1396601084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Self Connect Wellness, LLC?
- Self Connect Wellness, LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Self Connect Wellness, LLC located?
- Self Connect Wellness, LLC's practice location on file with NPPES is 800 N 6th St, Hiawatha, KS 66434-1717.
- What is Self Connect Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Self Connect Wellness, LLC is (785) 992-1531.
- Does Self Connect Wellness, LLC accept Medicare?
- Self Connect Wellness, LLC 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 Self Connect Wellness, LLC?
- The authorized official listed on Self Connect Wellness, LLC's NPPES record is Dustin Williams, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Self Connect Wellness, LLC's NPI active?
- Yes — Self Connect Wellness, LLC's NPI (1396601084) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.