Brenda S Grow, Lcmft, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BRENDA S GROW, LCMFT, LLC

Practice address

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

Phone

(316) 573-7791

Fax

(316) 932-1556

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Brenda Grow, LCMFTNPI 1306192562

Title

Owner

Phone

(316) 573-7791

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda S Grow, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1306192562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1326809427",
    "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": "316-573-7791",
            "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": "316-573-7791",
            "fax_number": "316-932-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA S GROW, LCMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "GROW",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-573-7791",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lee Breaux
• Tim Brecheisen
• Katrina Dona' Breeden, LCMFT
• Shelby R Breit, MD
• Seth J Bremyer, LCPC
• Stacey Brendmoen, LMSW
• Linda A Brennan, PT
• Brenneis Enterprises Co
• Jessica N Brenzikofer, OTR/L
• Mary A Breske

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.