Individual provider Active NPI

Michelle Lea Raine, LCP

  • Cognitive & Behavioral Psychologist
  • Wichita, KS
National Provider Identifier
1073776910
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
LCP934 Issued in KS
Practice address
439 N McLean Blvd Ste 101
Wichita, KS 67203-5900
Phone
(316) 263-6941
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X LCP934 KS Primary

Addresses

Primary practice location

439 N McLean Blvd Ste 101
Wichita, KS 67203-5900

Mailing address

1999 N Amidon Ave Ste 224
Wichita, KS 67203-2123
Phone (316) 247-4482

Other practice location 1

1999 N Amidon Ave Ste 224
Wichita, KS 67203-2123
Phone (316) 247-4482

Other names 1

  • Miss Michelle Lea Riley Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCP 934KSMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. Mental Health CurrentSince Jul 7, 2024 Accepting new patients

Locations

437 N Topeka Ave
Wichita, KS 67202
Phone (316) 263-6941

439 N McLean Blvd
Wichita, KS 67203
Phone (281) 705-1022

439 N McLean Blvd
Ste 101
Wichita, KS 67203
Phone (316) 263-6941

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1073776910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 224",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-247-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N MCLEAN BLVD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035900",
            "telephone_number": "316-263-6941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1999 N Amidon Ave Ste 224",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672032123",
            "country_code": "US",
            "telephone_number": "316-247-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINE",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "LCP934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RILEY",
            "middle_name": "LEA",
            "prefix": "MISS",
            "credential": "LCP",
            "code": "1",
            "type": "Former 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 Jul 2, 2026; 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.