NPIMap

Organization Active NPI

Progressive Growth Counseling & Coaching, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
National Provider Identifier
1639714769
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROGRESSIVE GROWTH COUNSELING & COACHING, LLC
Practice address
1028 E 1St St N
Wichita, KS 67214-3903
Phone
(620) 408-5400
Fax
(316) 462-0768
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Frances R Waldren, LSCSW
Title
Owner
Phone
(620) 408-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1028 E 1St St N
Wichita, KS 67214-3903

Mailing address

2471 N Winstead Cir
Wichita, KS 67226-1123
Phone (620) 408-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1639714769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 N WINSTEAD CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261123",
            "telephone_number": "620-408-5400",
            "fax_number": "316-462-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E 1ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143903",
            "telephone_number": "620-408-5400",
            "fax_number": "316-462-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE GROWTH COUNSELING & COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "WALDREN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-408-5400",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Nov 13, 2019; 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.