Individual provider Active NPI

Misty Humphrey, LCPC

  • Professional Counselor
  • Garden City, KS
National Provider Identifier
1063933976
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04059 Issued in KS
Practice address
801 N Main St Ste 2
Garden City, KS 67846-5436
Phone
(620) 675-0040
Fax
(844) 645-1452
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 04059 KS Primary

Addresses

Primary practice location

801 N Main St Ste 2
Garden City, KS 67846-5436

Mailing address

PO Box 1911
Garden City, KS 67846-1912
Phone (620) 675-0040

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

LicenseStateTypeSpecialty
04059KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Counseling Services, LLC Mental Health CurrentSince Oct 2, 2022 Accepting new patients
Four County Mental Health Center Inc Past Accepting new patients

Locations

801 N Main St
Ste 2
Garden City, KS 67846
Phone (620) 287-6152

Organizations & group practices 2

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1063933976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1911",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678461912",
            "telephone_number": "620-675-0040",
            "fax_number": "844-645-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAIN ST STE 2",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465436",
            "telephone_number": "620-675-0040",
            "fax_number": "844-645-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "MISTY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.