Active NPI
Ana Liza Scully-Skinner, LCMFT
- Marriage & Family Therapist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2988
- Practice address
- 515 N Ridge Rd Ste 204
Wichita, KS 67212-6389 - Phone
- (316) 409-0565
- Fax
- (858) 915-0285
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00895 | KS | |
| Marriage & Family Therapist | 106H00000X | 2988 | KS | Primary |
Addresses
Primary practice location
515 N Ridge Rd Ste 204
Wichita, KS 67212-6389
Mailing address
PO Box 313
Augusta, KS 67010-0313
Phone (316) 409-0565
Other practice location 1
2101 Dearborn St Ste 201
Augusta, KS 67010-2145
Phone (316) 409-0565
Other practice location 2
402 N River St Ste 200
Derby, KS 67037-1539
Phone (316) 409-0565
Other practice location 3
1525 N Lorraine Ave
Wichita, KS 67214-2444
Phone (316) 409-0565
Other practice location 4
8100 E. 22nd Street N Building 1500 Ste. A
Wichita, KS 67226-2315
Phone (316) 409-0565
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 N Ridge Rd
Suite 204 Therapeutic Alliance Group
Wichita, KS 67212-6389
Phone (316) 409-0565
8100 E 22ND St N
BLDG 1500 a
Wichita, KS 67226-2315
Phone (316) 409-0565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00895 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 2988 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tag Treatment Center LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Cowley County Mental Health Center | Multi-Specialty | Past | Accepting new patients |
| Life Anchor Counseling LLC | Multi-Specialty | Past | Accepting new patients |
Locations
2101 Dearborn St
Ste 201
Augusta, KS 67010
402 N River St
Ste 200
Derby, KS 67037
2641 S 127th St E
Wichita, KS 67210
1525 N Lorraine Ave
Wichita, KS 67214
Phone (316) 681-2545
1221 E Galena St
Wichita, KS 67216
515 N Ridge Rd
Ste 204
Wichita, KS 67212
Phone (316) 409-0965
2330 W 15th St N
Wichita, KS 67203
340 N Tyler Rd
Wichita, KS 67212
151 N Ridge Rd
Ste 6
Wichita, KS 67212
Phone (316) 295-6845
1881 Elpyco St
Wichita, KS 67218
8100 E 22nd St N
Bldg 1500-A
Wichita, KS 67226
2316 E 10th St N
Wichita, KS 67214
1220 N Tyler Rd
Wichita, KS 67212
1999 N Amidon Ave
Ste 335
Wichita, KS 67203
Phone (316) 260-1717
Organizations & group practices 3
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.
-
dba Therapeutic Alliance Group
- Marriage & Family Therapist
- Wichita, KS
- NPI 1275011462
Addiction (Substance Use Disorder)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winfield, KS
- NPI 1588653588
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1144701194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 313",
"city": "AUGUSTA",
"state": "KS",
"postal_code": "670100313",
"telephone_number": "316-409-0565",
"fax_number": "858-915-0285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N RIDGE RD STE 204",
"city": "WICHITA",
"state": "KS",
"postal_code": "672126389",
"telephone_number": "316-409-0565",
"fax_number": "858-915-0285"
}
],
"practiceLocations": [
{
"address_1": "2101 Dearborn St Ste 201",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "KS",
"postal_code": "670102145",
"country_code": "US",
"telephone_number": "316-409-0565",
"fax_number": "855-915-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "402 N River St Ste 200",
"address_purpose": "LOCATION",
"city": "Derby",
"state": "KS",
"postal_code": "670371539",
"country_code": "US",
"telephone_number": "316-409-0565",
"fax_number": "855-915-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1525 N Lorraine Ave",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672142444",
"country_code": "US",
"telephone_number": "316-409-0565",
"fax_number": "855-915-0285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8100 E. 22nd Street N Building 1500 Ste. A",
"address_purpose": "LOCATION",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262315",
"country_code": "US",
"telephone_number": "316-409-0565",
"fax_number": "855-915-0285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCULLY-SKINNER",
"first_name": "ANA LIZA",
"credential": "LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "00895",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "2988",
"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 Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.