Active NPI
Copper Valley Integrated Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
National Provider Identifier
1093672586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- COPPER VALLEY INTEGRATED HEALTH LLC
- Practice address
- 1212 W 3Rd St N Ste T1
Wichita, KS 67203-5939 - Phone
- (316) 688-2007
- Fax
- (316) 661-1208
- NPI assigned
- Jan 6, 2026
- 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
- Luc-Armand Ningumirize
- Title
- Manager
- Phone
- (207) 409-4027
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1212 W 3Rd St N Ste T1
Wichita, KS 67203-5939
Mailing address
423 N McLean Blvd Ste 301
Wichita, KS 67203-5964
Phone (316) 688-2007
National Provider Directory
National Provider Directory- Tax ID family
- Copper Valley Integrated Health LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Laveen, AZ
- NPI 1164311163
-
- Mental Health Counselor
- Portland, OR
- NPI 1336002799
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1770447427
Locations
423 N McLean Blvd
Ste 301
Wichita, KS 67203
1212 W 3rd St N
Ste T1
Wichita, KS 67203
Phone (316) 688-2007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1093672586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N MCLEAN BLVD STE 301",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035964",
"telephone_number": "316-688-2007",
"fax_number": "316-661-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 W 3RD ST N STE T1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035939",
"telephone_number": "316-688-2007",
"fax_number": "316-661-1208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COPPER VALLEY INTEGRATED HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-06",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "NINGUMIRIZE",
"authorized_official_first_name": "LUC-ARMAND",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "207-409-4027"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 Feb 5, 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.