NPIMap

Organization Active NPI

Pathway Church

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1013287770
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCMFT904 Issued in KS
Legal business name
PATHWAY CHURCH
Practice address
2001 N Maize Rd
Wichita, KS 67212-5205
Phone
(316) 722-8020
Fax
(316) 722-4297
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric J Parks, LCMFTNPI 1467790527
Title
Coordinator
Phone
(316) 722-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LCMFT904 KS Primary

Addresses

Primary practice location

2001 N Maize Rd
Wichita, KS 67212-5205

Mailing address

2001 N Maize Rd
Wichita, KS 67212-5205
Phone (316) 722-8020

Other names 1

  • Westlink Christian Church Former legal business name

National Provider Directory

National Provider Directory

Locations

2001 N Maize Rd
Wichita, KS 67212
Phone 3167228020 ext. 1604

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1013287770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N MAIZE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125205",
            "telephone_number": "316-722-8020",
            "fax_number": "316-722-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N MAIZE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125205",
            "telephone_number": "316-722-8020",
            "fax_number": "316-722-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "316-722-8020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LCMFT904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlink Christian Church",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.