Active NPI
Let'S Talk Therapy and Supervision Inc
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1063895209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LET'S TALK THERAPY AND SUPERVISION INC
- Practice address
- 2458 W Newell St
Wichita, KS 67203-5108 - Phone
- (316) 691-7201
- Fax
- (316) 847-7082
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angela Nichole Holoubek, LSCSW, RPT
- Title
- Owner/Provider
- Phone
- (316) 691-7201
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2458 W Newell St
Wichita, KS 67203-5108
Mailing address
2458 W Newell St
Wichita, KS 67203-5108
Phone (316) 691-7201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200438180H | Medicaid | KS | |
| S1787 | Other | REGISTERED PLAY THERAPIST-SUPERVISOR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1922031129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666915200000",
"number": "1063895209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2458 W NEWELL ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035108",
"telephone_number": "316-691-7201",
"fax_number": "316-847-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2458 W NEWELL ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035108",
"telephone_number": "316-691-7201",
"fax_number": "316-847-7082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LET'S TALK THERAPY AND SUPERVISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A",
"authorized_official_last_name": "HOLOUBEK",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "NICHOLE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "316-691-7201",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LSCSW, RPT"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200438180H",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PLAY THERAPIST-SUPERVISOR",
"identifier": "S1787",
"state": null
}
],
"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 Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.