Individual provider Active NPI

Asher J Wickell, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1194152298
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2790 Issued in KS
Practice address
9415 E Harry St Ste 308
Wichita, KS 67207-5077
Phone
(316) 351-8083
Fax
(888) 975-1954
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2509 KS
Marriage & Family Therapist 106H00000X 2790 KS Primary

Addresses

Primary practice location

9415 E Harry St Ste 308
Wichita, KS 67207-5077

Mailing address

9415 E Harry St Ste 308
Wichita, KS 67207-5077
Phone (316) 351-8083

Other identifiers 1

IdentifierTypeStateIssuer
201102000AMedicaidKS

Other names 1

  • Ash Wickell 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
2509KSMDMarriage & Family Therapist
2790KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1194152298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 308",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075077",
            "telephone_number": "316-351-8083",
            "fax_number": "888-975-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 308",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075077",
            "telephone_number": "316-351-8083",
            "fax_number": "888-975-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKELL",
        "first_name": "ASHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2509",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201102000A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASH",
            "last_name": "WICKELL",
            "credential": "LCMFT",
            "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 Feb 26, 2023; 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.