Active NPI
Kristin Janae Woodruff, LPC
- Professional Counselor
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC04957
- Practice address
- 8100 E 22ND St N Ste 2100-4
Wichita, KS 67226-2330 - Phone
- (316) 358-7128
- NPI assigned
- Feb 18, 2025
- Last updated
- May 28, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC04957 | KS | Primary |
Addresses
Primary practice location
8100 E 22ND St N Ste 2100-4
Wichita, KS 67226-2330
Mailing address
8100 E 22ND St N Ste 2100-4
Wichita, KS 67226-2330
Phone (316) 358-7128
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
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8100 E 22ND St N
BLDG 2100 Suite 1
Wichita, KS 67226-2350
Phone (316) 260-6889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC04957 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ict Therapy Works, LLC | Current | Accepting new patients |
Locations
545 N Woodlawn St
Wichita, KS 67208
Phone (316) 260-6889
8100 E 22nd St N
Ste 2100-4
Wichita, KS 67226
Phone (316) 358-7128
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Wichita, KS
- NPI 1396102315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1215732672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 E 22ND ST N STE 2100-4",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262330",
"telephone_number": "316-358-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 E 22ND ST N STE 2100-4",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262330",
"telephone_number": "316-358-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "KRISTIN",
"middle_name": "JANAE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "LPC04957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
- Woodlawn Behavioral Health
- Woodlawn Care and Rehab LLC (Orchard Gardens Health and Rehab)
- Woodlawn Rehabilitation & Health Care Center, L.L.C. (Woodlawn Rehabiliation & Health Care Center)
- Cathy Woodring, MD
- Jordan Woodruff
- Laura Kathleen Woodruff, RDH, OMT
- Nancy Diane Woodruff, PT
- Sarah Page Woodruff, DPT
- Caroline Elizabeth Woods, MD
- Catherine L Woods, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.