Active NPI
Cheyenne Lara, LPC
- Professional Counselor
- Wichita, KS
National Provider Identifier
1619715059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC04762
- Practice address
- 345 N Riverview St Ste 730
Wichita, KS 67203-4267 - Phone
- (316) 202-2110
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC04762 | KS | Primary |
Addresses
Primary practice location
345 N Riverview St Ste 730
Wichita, KS 67203-4267
Mailing address
2510 S Cypress St
Wichita, KS 67210-2463
Phone (316) 833-2949
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC04762 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level LLC | Professional | Current | Accepting new patients |
Locations
2955 SW Wanamaker Dr
Ste B
Topeka, KS 66614
Phone (785) 221-2755
345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110
9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110
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": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1619715059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 S CYPRESS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672102463",
"telephone_number": "316-833-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N RIVERVIEW ST STE 730",
"city": "WICHITA",
"state": "KS",
"postal_code": "672034267",
"telephone_number": "316-202-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "CHEYENNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "LPC04762",
"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 Jul 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.