Active NPI
Jennifer J. Bruening, LCMFT
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1306039094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCMFT 111
- Practice address
- 4505 E 47TH St S
Wichita, KS 67210-1651 - Phone
- (316) 734-6316
- Fax
- (316) 529-9351
- NPI assigned
- Aug 25, 2007
- Last updated
- May 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCMFT 111 | KS | Primary |
Addresses
Primary practice location
4505 E 47TH St S
Wichita, KS 67210-1651
Mailing address
900 W Broadway St
Newton, KS 67114-2037
Phone (316) 283-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000X | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCMFT 111 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1306039094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W BROADWAY ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671142037",
"telephone_number": "316-283-1950",
"fax_number": "316-283-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 E 47TH ST S",
"city": "WICHITA",
"state": "KS",
"postal_code": "672101651",
"telephone_number": "316-734-6316",
"fax_number": "316-529-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUENING",
"first_name": "JENNIFER",
"middle_name": "J.",
"credential": "LCMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-25",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "LCMFT 111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000X",
"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 May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.