Individual provider Active NPI

Ana Liza Scully-Skinner, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1144701194
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2988 Issued in KS
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

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220003561 KS Practitioner - Marriage and Family Therapist 1456717081 Reassigns benefits to 1 organization

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
Tag Treatment Center LLCGroup PAC ID 0547626178, 8 clinicians

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

LicenseStateTypeSpecialty
00895KSMDAddiction (Substance Use Disorder) Counselor
2988KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tag Treatment Center LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Cowley County Mental Health Center Multi-Specialty Past Accepting new patients
Life Anchor Counseling LLC Multi-Specialty PastSince Dec 21, 2025 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.

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

Verify at the official NPI Registry.