Active NPI
Amber Harris, LCMFT
- Marriage & Family Therapist
- Derby, KS
National Provider Identifier
1316971997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 346
- Practice address
- 1033 N Buckner St
206
Derby, KS 67037-1824 - Phone
- (316) 789-8511
- Fax
- (316) 789-8511
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 346 | KS | Primary |
Addresses
Primary practice location
1033 N Buckner St
206
Derby, KS 67037-1824
Mailing address
1033 N Buckner St
206
Derby, KS 67037-1824
Phone (316) 789-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200429340D | Medicaid | KS |
Other names 1
- Amber Harris-Wunderlich
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 |
|---|---|---|---|
| 346 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1316971997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 N BUCKNER ST",
"address_2": "206",
"city": "DERBY",
"state": "KS",
"postal_code": "670371824",
"telephone_number": "316-789-8511",
"fax_number": "316-789-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 N BUCKNER ST",
"address_2": "206",
"city": "DERBY",
"state": "KS",
"postal_code": "670371824",
"telephone_number": "316-789-8511",
"fax_number": "316-789-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "AMBER",
"credential": "LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200429340D",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "HARRIS-WUNDERLICH",
"credential": "LCMFT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.