Kirsten Landenberger, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2864 Issued in KS

Practice address

4155 E Harry St
Wichita, KS 67218-3725

Phone

(316) 831-0330

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kirsten Palmer Former name

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

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Axiom Counseling & Therapy Services

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1639526536
  Medicare reassignment NPD

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1518472505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183725",
            "telephone_number": "316-350-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183725",
            "telephone_number": "316-831-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDENBERGER",
        "first_name": "KIRSTEN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "PALMER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent A Lancaster, MD
• Jacob C Lancaster, MD
• Payton Lancaster
• Tara M. Lancelot, LCMFT
• Hannah Joy Landenberger, PA
• Reece Landenberger
• Trent Landenberger, T-LMFT
• Cynthia Landers, PH.D.
• Sarah Landers, CRNA
• Scott T Landes, OD

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.