Individual provider Active NPI

Jourdan Miller, LMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1649078478
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03697 Issued in KS
Practice address
1211 S Emporia Ave
Wichita, KS 67211-3211
Phone
(316) 660-9494
NPI assigned
Mar 6, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 03697 KS Primary

Addresses

Primary practice location

1211 S Emporia Ave
Wichita, KS 67211-3211

Mailing address

216 S Kansas Ave
Wichita, KS 67211-1925
Phone (620) 794-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16419 40TH Dr NE
Arlington, WA 98223-8449

345 N Riverview St
Suite 730
Wichita, KS 67203-4267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03697KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Advocacy of Sedgwick County Marriage & Family Therapist CurrentSince Mar 11, 2025 Accepting new patients

Locations

1211 S Emporia Ave
Wichita, KS 67211
Phone (316) 660-9442

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, 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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1649078478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S KANSAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111925",
            "telephone_number": "620-794-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S EMPORIA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113211",
            "telephone_number": "316-660-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOURDAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.