Shelby Ponder, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2819 Issued in KS

Practice address

4155 E Harry St
Wichita, KS 67218-3725

Phone

(800) 423-1342

Fax

(785) 628-3113

NPI assigned

Dec 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelby Alexander Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1669847976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183725",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "SHELBY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201140800B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "ALEXANDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lara Pollock, MSOM, DIPL.OM, DOM
• Dione Bleu Pompa, LCPC
• Paola Ponce, PHARM.D.
• Wendy Marie Ponce, RN
• Paula S Pond, APRN
• Timiko Ponder
• Hollie Pool
• Carmel Elizabeth Poor, L.S.C.S.W.
• Keenan Poore
• Kelly Pope

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.