Individual provider Active NPI

Nina Khonsaythidet, LPC

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1649151507
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
05142 Issued in KS
Practice address
635 N Main St
Wichita, KS 67203-3602
Phone
(316) 660-7500
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 05142 KS Primary

Addresses

Primary practice location

635 N Main St
Wichita, KS 67203-3602

Mailing address

271 W 3Rd St N Ste 600
Wichita, KS 67202-1223
Phone (316) 666-0760

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
I20251031003916 KS Practitioner - Mental Health Counselor 1254820863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

271 W 3Rd St N
Suite 600
Wichita, KS 67202-1223

635 N Main St
Wichita, KS 67203-3602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05142KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick Current Accepting new patients
County of Sedgwick CurrentSince Aug 28, 2025 Accepting new patients
County of Sedgwick CurrentSince Aug 28, 2025 Accepting new patients

Locations

271 W 3rd St N
Ste 600
Wichita, KS 67202

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

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, 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": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1649151507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 W 3RD ST N STE 600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021223",
            "telephone_number": "316-666-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033602",
            "telephone_number": "316-660-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHONSAYTHIDET",
        "first_name": "NINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "05142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.