Individual provider Active NPI

Deborah Diane Ast, LMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1376854414
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1136 Issued in KS
Practice address
716 N 119TH St W
Ste 104
Wichita, KS 67235-1938
Phone
(316) 773-4600
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 1136 KS Primary

Addresses

Primary practice location

716 N 119TH St W
Ste 104
Wichita, KS 67235-1938

Mailing address

716 N 119TH St W
Ste 104
Wichita, KS 67235-1938
Phone (316) 773-4600

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
I20240215003563 KS Practitioner - Marriage and Family Therapist 5799090312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Tree LLCGroup PAC ID 1658686324, 6 clinicians

Practice addresses (Care Compare)

151 N Ridge Rd
Suite 6
Wichita, KS 67212-4400
Phone (316) 779-2560

7348 W 21St St N
Wichita, KS 67205-1765
Phone (316) 779-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1136KSMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree LLC Marriage & Family Therapist CurrentSince Jan 3, 2024 Accepting new patients

Locations

151 N Ridge Rd
Ste 6
Wichita, KS 67212
Phone (316) 295-6845

7348 W 21st St N
Ste 107
Wichita, KS 67205
Phone (316) 779-2560

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1376854414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N 119TH ST W",
            "address_2": "STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351938",
            "telephone_number": "316-773-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N 119TH ST W",
            "address_2": "STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351938",
            "telephone_number": "316-773-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AST",
        "first_name": "DEBORAH",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.