Breathelife Therapy That Heals LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BREATHELIFE THERAPY THAT HEALS LLC

Practice address

7200 W 13TH St N Ste 103
Wichita, KS 67212-2943

Phone

(316) 461-6603

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Karen Hollon, T-LMFT

Title

Owner/Therapist

Phone

(316) 461-6603

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1639781750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10514 W MAY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091258",
            "telephone_number": "316-461-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W 13TH ST N STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122943",
            "telephone_number": "316-461-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHELIFE THERAPY THAT HEALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "HOLLON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "316-461-6603",
        "authorized_official_credential": "T-LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Hippa Compliant Program",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7200 W 13th St N Ste 103",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672122943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.