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Organization
JOHNSON COUNTY MENTAL HEALTH CENTER
Active
Organization
JOHNSON COUNTY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA LONGORIA (QUALITY IMPROVEMENT SPECIALIST)
(913) 826-4200
Entity
Organization
Contact information
Practice address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 826-4200
(913) 715-2533
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3234
(913) 826-4200
(913) 715-2533
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010D
—
KS
05
—
100098010F
—
KS
05
—
100098010J
—
KS
01
—
2920000A
MEDICARE PTAN
KS
01
—
2920000B
MEDICARE PTAN
KS
01
—
2920000C
MEDICARE PTAN
KS
05
—
30003914730001
—
KS
05
—
30003914730011
—
KS
05
—
30003914730012
—
KS
05
—
30003914730013
—
KS
05
—
30003914730015
—
KS
05
—
30003914730021
—
KS
Enumeration date
10/26/2005
Last updated
09/17/2026
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