Individual provider Active NPI

Jennifer Marie La Barge, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1245648625
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T-LMFT 2590 Issued in KS
Practice address
250 N Rock Rd Ste 225
Wichita, KS 67206-2242
Phone
(316) 295-7219
NPI assigned
Jul 29, 2014
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 T-LMFT 2590 KS Primary

Addresses

Primary practice location

250 N Rock Rd Ste 225
Wichita, KS 67206-2242

Mailing address

250 N Rock Rd Ste 225
Wichita, KS 67206-2242
Phone (316) 295-7219

Other names 1

  • Ms. Jennifer Marie Reynolds Former name

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
I20260618002692 KS Practitioner - Marriage and Family Therapist 4284106550 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 N Rock Rd
Suite 225
Wichita, KS 67206-2242
Phone (316) 202-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-LMFT 2590KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1245648625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 225",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062242",
            "telephone_number": "316-295-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 225",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062242",
            "telephone_number": "316-295-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA BARGE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "T-LMFT 2590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "REYNOLDS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.