Active NPI
Donna Marie Gorman, LCMFT, LCAC
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1033496823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 356
- Practice address
- 1319 W May St
Wichita, KS 67213-3505 - Phone
- (316) 262-0505
- Fax
- (316) 262-7384
- NPI assigned
- Nov 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 356 | KS | Primary |
Addresses
Primary practice location
1319 W May St
Wichita, KS 67213-3505
Mailing address
1319 W May St
Wichita, KS 67213-3505
Phone (316) 262-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dccca, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita, KS
- NPI 1841405354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1033496823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 W MAY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672133505",
"telephone_number": "316-262-0505",
"fax_number": "316-262-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 W MAY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672133505",
"telephone_number": "316-262-0505",
"fax_number": "316-262-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "LCMFT, LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.