Individual provider Active NPI

Danielle M McIntyre, LMFT, LMAC

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1134473606
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2442 Issued in KS
Practice address
622 E Douglas Ave
Wichita, KS 67202-3504
Phone
(316) 650-9881
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 2442 KS Primary

Addresses

Primary practice location

622 E Douglas Ave
Wichita, KS 67202-3504

Mailing address

622 E Douglas Ave
Wichita, KS 67202-3504
Phone (316) 650-9881

Other practice location 1

635 N Main St
Wichita, KS 67203-3602
Phone (316) 660-7525

Other practice location 2

24401 W MacArthur Rd
Goddard, KS 67052-8713
Phone (316) 794-2760

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
2442KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1134473606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023504",
            "telephone_number": "316-650-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023504",
            "telephone_number": "316-650-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 N Main St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672033602",
            "country_code": "US",
            "telephone_number": "316-660-7525",
            "fax_number": "316-660-1897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24401 W MacArthur Rd",
            "address_purpose": "LOCATION",
            "city": "Goddard",
            "state": "KS",
            "postal_code": "670528713",
            "country_code": "US",
            "telephone_number": "316-794-2760",
            "fax_number": "316-794-2773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "LMFT, LMAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2442",
            "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 Jun 11, 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.