Active NPI
Coby Jordon Cushenbery, LMFT-T
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1669106985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 03409-T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03409-T | KS | MD | Marriage & 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.