Individual provider Active NPI

Bonnie Kimple, LMFT, M.ED.

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1598796088
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0090 Issued in KS
Practice address
940 N Waco Ave
Addiction Treatment Services
Wichita, KS 67203-3947
Phone
(316) 660-7563
NPI assigned
Jul 5, 2006
Last updated
Aug 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0090 KS Primary

Addresses

Primary practice location

940 N Waco Ave
Addiction Treatment Services
Wichita, KS 67203-3947

Mailing address

635 N Main St
Comcare of Sedgwick County
Wichita, KS 67203-3602

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0090KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick Past Accepting new patients
County of Sedgwick Past Accepting new patients

Organizations & group practices 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1598796088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST",
            "address_2": "COMCARE OF SEDGWICK COUNTY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N WACO AVE",
            "address_2": "ADDICTION TREATMENT SERVICES",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033947",
            "telephone_number": "316-660-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPLE",
        "first_name": "BONNIE",
        "credential": "LMFT, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "0090",
            "primary": true
        }
    ],
    "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 Aug 21, 2007; 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.