Organization Active NPI

Cozy Refuge LLC

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1356042188
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COZY REFUGE LLC
Practice address
914 E Douglas Ave Ste 209
Wichita, KS 67202-3552
Phone
(316) 227-7003
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Pharasa Paulina Thanasith, LMFTNPI 1962126565
Title
Marriage and Family Therapist
Phone
(316) 789-3205

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

914 E Douglas Ave Ste 209
Wichita, KS 67202-3552

Mailing address

914 E Douglas Ave Ste 209
Wichita, KS 67202-3552
Phone (316) 227-7003

National Provider Directory

National Provider Directory

Locations

914 E Douglas Ave
Ste 209
Wichita, KS 67202
Phone (316) 227-7003

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1356042188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E DOUGLAS AVE STE 209",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023552",
            "telephone_number": "316-227-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 E DOUGLAS AVE STE 209",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023552",
            "telephone_number": "316-227-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZY REFUGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "THANASITH",
        "authorized_official_first_name": "PHARASA",
        "authorized_official_middle_name": "PAULINA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "316-789-3205",
        "authorized_official_credential": "LMFT"
    },
    "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 May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.