Individual provider Active NPI

Coby Jordon Cushenbery, LMFT-T

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1669106985
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03409-T Issued in KS
Practice address
7570 W 21St St N Ste 1046a
Wichita, KS 67205-1771
Phone
(316) 749-8448
NPI assigned
Jul 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X KS
Marriage & Family Therapist 106H00000X 03409-T KS Primary

Addresses

Primary practice location

7570 W 21St St N Ste 1046a
Wichita, KS 67205-1771

Mailing address

1523 N Woodland Ave
Wichita, KS 67203-2737
Phone (316) 670-6556

Other practice location 1

1523 N Woodland Ave
Wichita, KS 67203-2737
Phone (316) 670-6556

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03409-TKSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1669106985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 N WOODLAND AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032737",
            "telephone_number": "316-670-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1046A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051771",
            "telephone_number": "316-749-8448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 N Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672032737",
            "country_code": "US",
            "telephone_number": "316-670-6556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSHENBERY",
        "first_name": "COBY",
        "middle_name": "JORDON",
        "credential": "LMFT-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03409-T",
            "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 Aug 19, 2022; 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.