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Organization Active NPI Marriage & Family Therapist · Wichita, KS

NPI 1245907492 · NPPES record last updated Aug 27, 2026

Key facts

NPI
1245907492
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
ANEW
Practice address
8080 E Central Ave Ste 190
Wichita, KS 67206-2368
Phone
(316) 302-5661
NPI assigned
Aug 25, 2021
Organization subpart
No

Authorized official

Name
Wesley S Smothermon, LCMFT
Title
Owner
Phone
(316) 648-9580

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20241122004214 KS Part B Supplier - Clinic/Group Practice 9830624147 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X Yes
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

8080 E Central Ave Ste 190
Wichita, KS 67206-2368

Mailing address

8080 E Central Ave Ste 190
Wichita, KS 67206-2368
Phone (316) 302-5661

Other providers in Wichita, KS

All providers in Wichita, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.