Insight Counseling Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

07400971 Issued in KS

Legal business name

INSIGHT COUNSELING CENTER, INC.

Practice address

4618 E Central Ave Ste 30
Wichita, KS 67208-3956

Phone

(316) 440-4804

Fax

(316) 440-4814

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carla Jo Wade, LCAC, LMLP

Title

Owner/Director

Phone

(316) 409-2960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1285902676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 E CENTRAL AVE STE 30",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083956",
            "telephone_number": "316-440-4804",
            "fax_number": "316-440-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 E CENTRAL AVE STE 30",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083956",
            "telephone_number": "316-440-4804",
            "fax_number": "316-440-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "316-409-2960",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCAC, LMLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "07400971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.