Individual provider Active NPI

Tara Galyardt

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1255857355
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05686 Issued in KS
Practice address
100 S Main St Ste 505
Wichita, KS 67202-3738
Phone
(316) 688-8390
Fax
(316) 867-1718
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05686 KS Primary
Social Worker 104100000X 3781 KS

Addresses

Primary practice location

100 S Main St Ste 505
Wichita, KS 67202-3738

Mailing address

100 S Main St Ste 505
Wichita, KS 67202-3738
Phone (316) 688-8390

Other practice location 1

7920 W 21st St N Ste 200
Wichita, KS 67205-1787
Phone (316) 445-9734

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
I20220826002771 KS Practitioner - Clinical Social Worker 7719361682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Mental Wellness LLC 2 clinicians

Practice addresses (Care Compare)

100 S Main St
Suite 505
Wichita, KS 67202-3738
Phone 31668583902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ict Therapy Works, LLC CurrentSince Jun 26, 2022 Accepting new patients

Locations

545 N Woodlawn St
Wichita, KS 67208
Phone (316) 260-6889

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1255857355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 505",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023738",
            "telephone_number": "316-688-8390",
            "fax_number": "316-867-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 505",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023738",
            "telephone_number": "316-688-8390",
            "fax_number": "316-867-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7920 W 21st St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051787",
            "country_code": "US",
            "telephone_number": "316-445-9734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALYARDT",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05686",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "3781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.