Individual provider Active NPI

Brenda S Grow, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1306192562
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2798 Issued in KS
Practice address
1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137
Phone
(316) 530-1957
Fax
(316) 932-1556
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2798 KS Primary

Addresses

Primary practice location

1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137

Mailing address

1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137
Phone (316) 530-1957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523002471 KS Practitioner - Marriage and Family Therapist 5193167088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 N Amidon Ave
Suite 210
Wichita, KS 67203-2137
Phone (316) 530-1957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2798KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda S Grow, Lcmft, LLC Marriage & Family Therapist CurrentSince Dec 18, 2023 Accepting new patients
Saint Francis Community Services, Inc. Marriage & Family Therapist PastSince Dec 21, 2014 Accepting new patients

Locations

1900 N Amidon Ave
Ste 210
Wichita, KS 67203
Phone (316) 530-1957

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1306192562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N AMIDON AVE STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032137",
            "telephone_number": "316-530-1957",
            "fax_number": "316-932-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AMIDON AVE STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032137",
            "telephone_number": "316-530-1957",
            "fax_number": "316-932-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROW",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.