Individual provider Active NPI

John Wesley Fleeker, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1386835395
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
319 Issued in KS
Practice address
7348 W. 21RST. N.
Suite 107
Wichita, KS 67205
Phone
(316) 779-2560
NPI assigned
Aug 5, 2007
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 801 CO
Marriage & Family Therapist 106H00000X 319 KS Primary

Addresses

Primary practice location

7348 W. 21RST. N.
Suite 107
Wichita, KS 67205

Mailing address

PO Box 130
801 Coffman
Whitewater, CO 81527
Phone (970) 255-8000

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
I20240226000695 KS Practitioner - Marriage and Family Therapist 5991140394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Tree LLCGroup PAC ID 1658686324, 6 clinicians
Word of Life Ministries and Schools IncGroup PAC ID 5395143390, 2 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

915 E 53Rd St N
Park City, KS 67219-2611
Phone (316) 677-7646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
801COMDMarriage & Family Therapist
319KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree LLC Marriage & Family Therapist CurrentSince Jan 10, 2024 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Hand Up Homes for Youth Past Accepting new patients

Locations

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

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

2720 E 12th Ave
Winfield, KS 67156
Phone (620) 218-0535

900 E Laharpe St
Kirksville, MO 63501

Organizations & group practices 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1386835395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "801 COFFMAN",
            "city": "WHITEWATER",
            "state": "CO",
            "postal_code": "81527",
            "telephone_number": "970-255-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7348 W. 21RST. N.",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-779-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEEKER",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "801",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.