Goldfinch Therapy and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GOLDFINCH THERAPY AND WELLNESS LLC

Practice address

100 S Market St Ste 2a
Wichita, KS 67202

Phone

(316) 361-0662

Fax

(844) 766-7540

NPI assigned

Jun 17, 2019

Last updated

Jan 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Andrea Lynn Kasper-Doggett, LSCSWNPI 1386992691

Title

Mental Health Therapist

Phone

(316) 619-7604

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Lynn Kasper-Doggett, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1386992691
  Medicare reassignment NPD Authorized official
• Jessica Renee Smith, LMSW

  • Social Worker
  • Wichita, KS
  • NPI 1851921266

  Single Specialty

  NPD

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1396305835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST STE 2A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023824",
            "telephone_number": "316-361-0662",
            "fax_number": "844-766-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST STE 2A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67202",
            "telephone_number": "316-361-0662",
            "fax_number": "844-766-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 N Vassar St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672083219",
            "country_code": "US",
            "telephone_number": "316-619-7604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDFINCH THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "KASPER-DOGGETT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "316-619-7604",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200965900D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shane Goldwater
• Jessica Nichole Golightley, RN
• Matthew E Goltl, D.C.
• Sophia Grace Goltl
• Nancy Gomaz, COTA

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.