Individual provider Active NPI

Tracy Stuever, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1558394791
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCMFT 756 Issued in KS
Practice address
11828 W Central Ave Ste 104
Wichita, KS 67212-5178
Phone
(316) 648-8886
Fax
(316) 854-5412
NPI assigned
Jul 9, 2006
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 549 KS
Marriage & Family Therapist 106H00000X LCMFT 756 KS Primary

Addresses

Primary practice location

11828 W Central Ave Ste 104
Wichita, KS 67212-5178

Mailing address

11828 W Central Ave Ste 104
Wichita, KS 67212-5178
Phone (316) 648-8886

Other names 1

  • Tracy Conrad Former name

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

State licenses

LicenseStateTypeSpecialty
LCMFT 756KSMDMarriage & Family Therapist
549KSMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Branches Therapy & Wellness, LLC Current Accepting new patients

Locations

11828 W Central Ave
Ste 104
Wichita, KS 67212
Phone (316) 613-3995

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1558394791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 W CENTRAL AVE STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125178",
            "telephone_number": "316-648-8886",
            "fax_number": "316-854-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 W CENTRAL AVE STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125178",
            "telephone_number": "316-648-8886",
            "fax_number": "316-854-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEVER",
        "first_name": "TRACY",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "549",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LCMFT 756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CONRAD",
            "credential": "LCMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 29, 2024; 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.