Individual provider Active NPI

Virgil Miller, LMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1639680663
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
525 Issued in KS
Practice address
1919 N Amidon Ave Ste 130
Wichita, KS 67203-2118
Phone
(316) 660-7675
Fax
(316) 832-1571
NPI assigned
Oct 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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 525 KS Primary

Addresses

Primary practice location

1919 N Amidon Ave Ste 130
Wichita, KS 67203-2118

Mailing address

934 N Water St
Wichita, KS 67203-3838
Phone (316) 660-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191221000089 KS Practitioner - Other (Non-Physician) 4587098793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resolutions Individual Couple and Family Therapy LLCGroup PAC ID 7416276936, 6 clinicians

Practice addresses (Care Compare)

982 N Tyler Rd
Suite B
Wichita, KS 67212-3271
Phone (316) 721-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
525KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Individual, Couple and Family Therapy LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
County of Sedgwick Past Accepting new patients
Gulf Coast Therapy Center PastSince Jan 26, 2020 Accepting new patients

Locations

982 N Tyler Rd
Ste B
Wichita, KS 67212
Phone (316) 721-4850

807 N Waco Ave
Ste 11
Wichita, KS 67203
Phone (316) 776-4360

807 N Waco Ave
Ste 12
Wichita, KS 67203

Organizations & group practices 3

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1639680663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 N WATER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033838",
            "telephone_number": "316-660-7600",
            "fax_number": "316-941-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N AMIDON AVE STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032118",
            "telephone_number": "316-660-7675",
            "fax_number": "316-832-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VIRGIL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.