Organization Active NPI

Copper Valley Integrated Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1093672586
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Feb 5, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.