Provider Demographics
NPI:1114660412
Name:NEW BEGINNINGS COUNSELING AND EDUCATIONAL SERVICES
Entity type:Organization
Organization Name:NEW BEGINNINGS COUNSELING AND EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERREL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-387-6339
Mailing Address - Street 1:324 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MOUNDRIDGE
Mailing Address - State:KS
Mailing Address - Zip Code:67107-7164
Mailing Address - Country:US
Mailing Address - Phone:620-387-6339
Mailing Address - Fax:
Practice Address - Street 1:324 E 2ND ST
Practice Address - Street 2:
Practice Address - City:MOUNDRIDGE
Practice Address - State:KS
Practice Address - Zip Code:67107-7164
Practice Address - Country:US
Practice Address - Phone:620-387-6339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004902270001Medicaid