Individual provider Active NPI

Joanne R Wondra, LPC

  • Professional Counselor
  • Great Bend, KS
National Provider Identifier
1407471840
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2008 11TH St
Great Bend, KS 67530-4419
Phone
(620) 796-2788
Fax
(620) 796-2789
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2008 11TH St
Great Bend, KS 67530-4419

Mailing address

2008 11TH St
Great Bend, KS 67530-4419
Phone (620) 796-2788

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joanne.wondra@a4change.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Healing Solutions LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

2008 11th St
Great Bend, KS 67530
Phone (620) 793-3164

Interoperability endpoints

  • Direct secure messaging: joanne.wondra@a4change.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1407471840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304419",
            "telephone_number": "620-796-2788",
            "fax_number": "620-796-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304419",
            "telephone_number": "620-796-2788",
            "fax_number": "620-796-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDRA",
        "first_name": "JOANNE",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-09-27",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joanne.wondra@a4change.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 Patton Road",
            "city": "Great Bend",
            "state": "KS",
            "country_code": "US",
            "postal_code": "67530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.