Organization Active NPI

Brookhollow Family Therapy, LLC

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1275966848
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2480 Issued in KS
Legal business name
BROOKHOLLOW FAMILY THERAPY, LLC
Practice address
250 N Rock Rd
130
Wichita, KS 67206-2203
Phone
(316) 804-8118
NPI assigned
Aug 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mrs. Paula L Schaefer, LMFT-T
Title
Owner
Phone
(316) 737-7504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2480 KS Primary

Addresses

Primary practice location

250 N Rock Rd
130
Wichita, KS 67206-2203

Mailing address

8220 E Brookhollow St
Wichita, KS 67206-2306
Phone (316) 737-7504

National Provider Directory

National Provider Directory

Locations

250 N Rock Rd
Ste 130
Wichita, KS 67206
Phone (316) 530-2813

NPI Registry JSON

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1275966848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 E BROOKHOLLOW ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062306",
            "telephone_number": "316-737-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD",
            "address_2": "130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062203",
            "telephone_number": "316-804-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHOLLOW FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-737-7504",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT-T"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2480",
            "primary": true
        }
    ],
    "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 Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.