Individual provider Active NPI

Sianna Holly Nelson

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1336860170
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03424-T Issued in KS
Practice address
825 N Waco Ave Ste 200
Wichita, KS 67203-3939
Phone
(316) 201-6047
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 03424-T KS Primary

Addresses

Primary practice location

825 N Waco Ave Ste 200
Wichita, KS 67203-3939

Mailing address

1722 N Skyview St
Wichita, KS 67212-1143
Phone (316) 390-0503

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
I20250812002812 KS Practitioner - Marriage and Family Therapist 8527566140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soma Recovery LLCGroup PAC ID 7810387339, 31 clinicians

Practice addresses (Care Compare)

825 N Waco Ave
Wichita, KS 67203-3939
Phone (316) 201-6047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03424-TKSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Recovery LLC Marriage & Family Therapist CurrentSince Aug 5, 2025 Accepting new patients

Locations

825 N Waco Ave
Wichita, KS 67203
Phone (316) 201-6047

825 N Waco Ave
Ste 200
Wichita, KS 67203
Phone (316) 201-6047

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1336860170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 N SKYVIEW ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121143",
            "telephone_number": "316-390-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N WACO AVE STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033939",
            "telephone_number": "316-201-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SIANNA",
        "middle_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03424-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.