Active NPI
Real Life LLC
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1265901722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- REAL LIFE LLC
- Practice address
- 8911 E Orme St Ste D
Wichita, KS 67207-2424 - Phone
- (316) 425-7774
- NPI assigned
- Nov 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrice Hinecker
- Title
- Office Manager
- Phone
- (316) 425-7774
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
8911 E Orme St Ste D
Wichita, KS 67207-2424
Mailing address
8911 E Orme St Ste D
Wichita, KS 67207-2424
Phone (316) 425-7774
National Provider Directory
National Provider DirectoryLocations
8911 E Orme St
Ste D
Wichita, KS 67207
Phone (316) 247-1432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542153600000",
"number": "1265901722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8911 E ORME ST STE D",
"city": "WICHITA",
"state": "KS",
"postal_code": "672072424",
"telephone_number": "316-425-7774",
"fax_number": "316-425-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8911 E ORME ST STE D",
"city": "WICHITA",
"state": "KS",
"postal_code": "672072424",
"telephone_number": "316-425-7774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAL LIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A",
"authorized_official_last_name": "HINECKER",
"authorized_official_first_name": "PATRICE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "316-425-7774"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.