Individual provider Active NPI

Nicole Slater-Childs

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1508670035
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC04937 Issued in KS
Practice address
1410 S Glendale St
Wichita, KS 67218-3212
Phone
(406) 370-3729
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 LPC04937 KS Primary

Addresses

Primary practice location

1410 S Glendale St
Wichita, KS 67218-3212

Mailing address

4730 N Ridge Port CT
Wichita, KS 67205-8848
Phone (406) 370-3729

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
I20250524000164 KS Practitioner - Mental Health Counselor 5496274219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolutions Individual Couple and Family Therapy LLCGroup PAC ID 7416276936, 6 clinicians

Practice addresses (Care Compare)

807 N Waco Ave
Suite 11
Wichita, KS 67203-3971
Phone (316) 721-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC04937KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Cats Inc. Professional CurrentSince Oct 5, 2025 Accepting new patients
Resolutions Individual, Couple and Family Therapy LLC CurrentSince Apr 1, 2025 Accepting new patients
Gulf Coast Therapy Center PastSince Jan 26, 2020 Accepting new patients

Locations

982 N Tyler Rd
Ste B
Wichita, KS 67212
Phone (316) 721-4850

1410 S Glendale St
Wichita, KS 67218
Phone (406) 370-3729

807 N Waco Ave
Ste 11
Wichita, KS 67203
Phone (316) 776-4360

807 N Waco Ave
Ste 12
Wichita, KS 67203

Organizations & group practices 3

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1508670035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N RIDGE PORT CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058848",
            "telephone_number": "406-370-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S GLENDALE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183212",
            "telephone_number": "406-370-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER-CHILDS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC04937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.