Individual provider Active NPI

Amanda Noelle Roe, LCMFT

  • Marriage & Family Therapist
  • Winfield, KS
National Provider Identifier
1104259811
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2513 Issued in KS
Practice address
207 E 9TH Ave
Winfield, KS 67156-2817
Phone
(620) 719-8229
Fax
(620) 229-8124
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 2513 KS Primary

Addresses

Primary practice location

207 E 9TH Ave
Winfield, KS 67156-2817

Mailing address

207 E 9TH Ave
Winfield, KS 67156-2817
Phone (620) 719-8229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109000687 KS Practitioner - Marriage and Family Therapist 7315433521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winfield Family Therapy, LLCGroup PAC ID 8325534530, 3 clinicians

Practice addresses (Care Compare)

207 E 9TH Ave
Winfield, KS 67156-2817
Phone (620) 719-8229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winfield Family Therapy, LLC Marriage & Family Therapist CurrentSince Nov 8, 2025 Accepting new patients

Locations

207 E 9th Ave
Winfield, KS 67156
Phone (620) 719-8229

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1104259811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562817",
            "telephone_number": "620-719-8229",
            "fax_number": "620-229-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562817",
            "telephone_number": "620-719-8229",
            "fax_number": "620-229-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "AMANDA",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.