Individual provider Active NPI

Amber N Freeze-Carter, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1265107080
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03273 Issued in KS
Practice address
889 N Maize Rd Suite 200
Wichita, KS 67212-6302
Phone
(316) 290-9103
Fax
(316) 854-9664
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 03273 KS Primary

Addresses

Primary practice location

889 N Maize Rd Suite 200
Wichita, KS 67212-6302

Mailing address

PO Box 781326
Wichita, KS 67278-1326
Phone (316) 290-9103

Other names 1

  • Amber N Carter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 21, 2024 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03273KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1265107080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781326",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672781326",
            "telephone_number": "316-290-9103",
            "fax_number": "316-854-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 N MAIZE RD SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126302",
            "telephone_number": "316-290-9103",
            "fax_number": "316-854-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEZE-CARTER",
        "first_name": "AMBER",
        "middle_name": "N",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "CARTER",
            "middle_name": "N",
            "credential": "LCMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.