Individual provider Active NPI

Jessica Zavala

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1053185322
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875
Phone
(316) 660-9600
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875

Mailing address

2112 N Wellington PL
Wichita, KS 67203-2434
Phone (956) 240-6280

Other practice location 1

100 S Main St Ste 505
Wichita, KS 67202-3738
Phone (316) 688-8390 ext. 7

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614000192 KS Practitioner - Mental Health Counselor 4981147352 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick CurrentSince Apr 21, 2024 Accepting new patients
County of Sedgwick CurrentSince Apr 21, 2024 Accepting new patients
County of Sedgwick Current Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

271 W 3rd St N
Ste 600
Wichita, KS 67202

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

4035 E Harry St
Wichita, KS 67218
Phone (316) 660-7550

1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675

402 E 2nd St N
#B
Wichita, KS 67202
Phone (316) 660-7800

1938 N Woodlawn St
Ste 400
Wichita, KS 67208
Phone (316) 660-9600

1720 E Morris St
Ste 101
Wichita, KS 67211
Phone (316) 660-1900

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

350 S Broadway Ave
Wichita, KS 67202
Phone (316) 660-9600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1053185322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N WELLINGTON PL",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032434",
            "telephone_number": "956-240-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 N WOODLAWN ST STE 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081875",
            "telephone_number": "316-660-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Main St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023738",
            "country_code": "US",
            "telephone_number": "316-688-8390 x7",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.