Individual provider Active NPI

Barbara Sue Menninga, L.C.P.C.

  • Counselor
  • Wichita, KS
National Provider Identifier
1285872630
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
743 Issued in KS
Practice address
1811 W McKee St
Wichita, KS 67203-2942
Phone
(316) 655-3747
NPI assigned
Jan 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 743 KS Primary

Addresses

Primary practice location

1811 W McKee St
Wichita, KS 67203-2942

Mailing address

1811 W McKee St
Wichita, KS 67203-2942
Phone (316) 655-3747

Other identifiers 1

IdentifierTypeStateIssuer
200592170AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
743KSMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1285872630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W MCKEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032942",
            "telephone_number": "316-655-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W MCKEE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032942",
            "telephone_number": "316-655-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNINGA",
        "first_name": "BARBARA",
        "middle_name": "SUE",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200592170A",
            "state": "KS"
        }
    ],
    "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 25, 2011; 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.