Emily J. Runyan LCP, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1448 Issued in KS

Legal business name

EMILY J. RUNYAN LCP, LLC

Practice address

4601 E Douglas Ave
Office 128
Wichita, KS 67218-1031

Phone

(316) 337-5530

NPI assigned

Nov 12, 2014

Last updated

Oct 20, 2016By 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. Emily Joy Runyan, M.S., LCP

Title

Psychotherapist/Owner

Phone

(316) 208-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1407252851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE",
            "address_2": "OFFICE 128",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181031",
            "telephone_number": "316-337-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE",
            "address_2": "OFFICE 128",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181031",
            "telephone_number": "316-337-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY J. RUNYAN LCP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "316-208-4700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., LCP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "1448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200621080B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.