Individual provider Active NPI

Melba Jean McGilvrey, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1245425792
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCMFT 157 Issued in KS
Practice address
1319 W May St
Wichita, KS 67213-3505
Phone
(316) 267-2030
Fax
(316) 267-2007
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCMFT 157 KS Primary

Addresses

Primary practice location

1319 W May St
Wichita, KS 67213-3505

Mailing address

1319 W May St
Wichita, KS 67213-3505
Phone (316) 267-2030

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
I20231219002844 KS Practitioner - Marriage and Family Therapist 0547610412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolutions Individual Couple and Family Therapy LLCGroup PAC ID 7416276936, 6 clinicians

Practice addresses (Care Compare)

807 N Waco Ave
Suite 11
Wichita, KS 67203-3971
Phone (316) 721-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Individual, Couple and Family Therapy LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Gulf Coast Therapy Center PastSince Jan 26, 2020 Accepting new patients

Locations

982 N Tyler Rd
Ste B
Wichita, KS 67212
Phone (316) 721-4850

807 N Waco Ave
Ste 11
Wichita, KS 67203
Phone (316) 776-4360

807 N Waco Ave
Ste 12
Wichita, KS 67203

Organizations & group practices 2

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1245425792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W MAY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133505",
            "telephone_number": "316-267-2030",
            "fax_number": "316-267-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W MAY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133505",
            "telephone_number": "316-267-2030",
            "fax_number": "316-267-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILVREY",
        "first_name": "MELBA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LCMFT 157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.