Individual provider Active NPI

Heather M Hayden, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1093364036
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03117 Issued in KS
Practice address
200 N Broadway Ave FL 5
Wichita, KS 67202-2301
Phone
(316) 737-9907
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03117 KS Primary

Addresses

Primary practice location

200 N Broadway Ave FL 5
Wichita, KS 67202-2301

Mailing address

814 S Green St
Wichita, KS 67211-2813
Phone (316) 737-9907

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
03117KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Be Therapy, LLC Marriage & Family Therapist CurrentSince Apr 9, 2023 Accepting new patients

Locations

200 N Broadway Ave
Fl 5
Wichita, KS 67202
Phone (316) 425-7774

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1093364036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S GREEN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112813",
            "telephone_number": "316-737-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BROADWAY AVE FL 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022301",
            "telephone_number": "316-737-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03117",
            "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 Apr 3, 2023; 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.