Active NPI
Brenton Keesee, T-LMLP
- Counseling Psychologist
- Wichita, KS
National Provider Identifier
1205681699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 03143
- Practice address
- 8623 E 32ND St N
Wichita, KS 67226-3317 - Phone
- (306) 201-6047
- NPI assigned
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 03143 | KS | Primary |
Addresses
Primary practice location
8623 E 32ND St N
Wichita, KS 67226-3317
Mailing address
8623 E 32ND St N
Wichita, KS 67226-3317
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03143 | KS | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1205681699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8623 E 32ND ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672263317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8623 E 32ND ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672263317",
"telephone_number": "306-201-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEESEE",
"first_name": "BRENTON",
"credential": "T-LMLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "KS",
"license": "03143",
"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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.