Individual provider Active NPI

Kaitlyn Jo Mushrush

  • Psychologist
  • Wichita, KS
National Provider Identifier
1568075695
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01546 Issued in KS
Practice address
2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960
Phone
(316) 347-7157
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3003 KS
Psychologist 103T00000X 01546 KS Primary

Addresses

Primary practice location

2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960

Mailing address

2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960

Other names 1

  • Kaitlyn Jo Connor Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Crosswinds Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227001900 KS Practitioner - Psychologist Billing Independently 6608303904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3003KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Air Capital Counseling & Assessment, LLC Psychologist CurrentSince Nov 1, 2024 Accepting new patients

Locations

2420 N Woodlawn Blvd
Ste 300
Wichita, KS 67220
Phone (316) 347-7157

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1568075695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N WOODLAWN BLVD STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N WOODLAWN BLVD STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203960",
            "telephone_number": "316-347-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHRUSH",
        "first_name": "KAITLYN",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "3003",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "01546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Crosswinds",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Lincoln St",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668012449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "CONNOR",
            "middle_name": "JO",
            "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 Jul 20, 2026; 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.

Verify at the official NPI Registry.