Active NPI
Luke Carter, LP, LLC
- Community/Behavioral Health Agency
- Wichita, KS
National Provider Identifier
1538784848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LUKE CARTER, LP, LLC
- Practice address
- 4601 E Douglas Ave Ste 207
Wichita, KS 67218-1032 - Phone
- (316) 337-5556
- Fax
- (316) 337-5531
- NPI assigned
- Jun 11, 2020
- Last updated
- Mar 28, 2021
- Organization subpart
- Yes
- Parent organization
- LUKE CARTER, LP, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Diana Miskiewicz
- Title
- Credentialing
- Phone
- (316) 519-1877
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
4601 E Douglas Ave Ste 207
Wichita, KS 67218-1032
Mailing address
4601 E Douglas Ave Ste 207
Wichita, KS 67218-1032
Phone (316) 337-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Luke Carter LP LLC
Locations
4601 E Douglas Ave
Ste 207
Wichita, KS 67218
Phone (316) 337-5556
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Wichita, KS
- NPI 1427238682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616889600000",
"number": "1538784848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 E DOUGLAS AVE STE 207",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181032",
"telephone_number": "316-337-5556",
"fax_number": "316-337-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 E DOUGLAS AVE STE 207",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181032",
"telephone_number": "316-337-5556",
"fax_number": "316-337-5531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUKE CARTER, LP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LUKE CARTER, LP, LLC",
"enumeration_date": "2020-06-11",
"last_updated": "2021-03-28",
"certification_date": "2021-03-28",
"status": "A",
"authorized_official_last_name": "MISKIEWICZ",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "316-519-1877",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.