Active NPI
Patricia K Juaire, LPC
- Professional Counselor
- Wichita, KS
National Provider Identifier
1245082890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 04649
- Practice address
- 200 N Broadway Ave FL 5
Wichita, KS 67202-2301 - Phone
- (316) 425-7774
- NPI assigned
- Apr 4, 2024
- 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 | 04649 | KS | Primary |
Addresses
Primary practice location
200 N Broadway Ave FL 5
Wichita, KS 67202-2301
Mailing address
2201 E Macarthur Rd Lot E6
Wichita, KS 67216-5615
Phone (316) 613-1629
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 |
|---|---|---|---|
| 04649 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1245082890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 E MACARTHUR RD LOT E6",
"city": "WICHITA",
"state": "KS",
"postal_code": "672165615",
"telephone_number": "316-613-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BROADWAY AVE FL 5",
"city": "WICHITA",
"state": "KS",
"postal_code": "672022301",
"telephone_number": "316-425-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAIRE",
"first_name": "PATRICIA",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "04649",
"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 4, 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.