Active NPI
Tara Galyardt
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1255857355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ict Therapy Works, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita, KS
- NPI 1891348710
KS
-
- Marriage & Family Therapist
- Wichita, KS
- NPI 1396102315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.