Austin Bohanon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

04142 Issued in KS

Practice address

4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859

Phone

(316) 210-6294

NPI assigned

Oct 19, 2022

Last updated

Sep 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1689391732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058859",
            "telephone_number": "316-210-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058859",
            "telephone_number": "316-210-6294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 N Webb Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063413",
            "country_code": "US",
            "telephone_number": "316-636-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHANON",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "04142",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Ryan Bogner, LPC
• Mark L. Bogner
• Bogue Counseling LLC
• Angela M Bogue-Gilmore, LCMFT
• Courtney Michelle Bohannan, APRN
• Karen L Bohaty, PA-C
• Parker Evan Bohm, MD
• Lisa Gail Bohon, PMHNP-BC
• Geoffrey Andrew Boisvert, MD
• Monica Ann Boknecht, MS, LMFT

• Professional Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.