Organization Active NPI

Wichita Therapy Stop

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1326647264
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WICHITA THERAPY STOP
Practice address
530 N Ridge Rd Ste a
Wichita, KS 67212-6576
Phone
(316) 201-4063
Fax
(316) 201-4069
NPI assigned
Oct 21, 2020
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Brenda BrownNPI 1295980084
Title
Owner
Phone
(316) 201-4063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

530 N Ridge Rd Ste a
Wichita, KS 67212-6576

Mailing address

530 N Ridge Rd Ste a
Wichita, KS 67212-6576
Phone (316) 201-4063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251222002612 KS Part B Supplier - Clinic/Group Practice 7012402597 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

6617 W Central Ave
Wichita, KS 67212
Phone (316) 201-4063

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1326647264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N RIDGE RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126576",
            "telephone_number": "316-201-4063",
            "fax_number": "316-201-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N RIDGE RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126576",
            "telephone_number": "316-201-4063",
            "fax_number": "316-201-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA THERAPY STOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-201-4063"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.