Healthcare Provider Details

I. General information

NPI: 1497671945
Provider Name (Legal Business Name): COMMUNITY CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 NE FREEMAN AVE
TOPEKA KS
66616-1222
US

IV. Provider business mailing address

639 NE FREEMAN AVE
TOPEKA KS
66616-1222
US

V. Phone/Fax

Practice location:
  • Phone: 785-249-8866
  • Fax: 785-249-8866
Mailing address:
  • Phone: 785-249-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JAYCELLE MARSHALL
Title or Position: TARGETED CASE MANAGER
Credential: TCM
Phone: 785-249-8866