Individual provider Active NPI

Christina Marie Wakeman, LAC-ST

  • Addiction (Substance Use Disorder) Counselor
  • Wichita, KS
National Provider Identifier
1124993373
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
02001-TS Issued in KS
Practice address
939 N Main St
Wichita, KS 67203-3608
Phone
(316) 263-8807
Fax
(316) 263-9681
NPI assigned
Oct 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 02001-TS KS Primary

Addresses

Primary practice location

939 N Main St
Wichita, KS 67203-3608

Mailing address

914 SE 3Rd St
Newton, KS 67114-3926
Phone (316) 263-8807

Other names 1

  • Christina Marie Magby 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02001-TSKSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Treatment Center, Inc CurrentSince Oct 12, 2025 Accepting new patients

Locations

939 N Main St
Wichita, KS 67203
Phone (316) 263-8807

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": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1124993373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 SE 3RD ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143926",
            "telephone_number": "316-263-8807",
            "fax_number": "316-263-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033608",
            "telephone_number": "316-263-8807",
            "fax_number": "316-263-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LAC-ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "02001-TS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MAGBY",
            "middle_name": "MARIE",
            "credential": "LAC-ST",
            "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 Oct 8, 2025; 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.