Active NPI
Gabrielle Sunderland, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita, KS
National Provider Identifier
1689416661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GABRIELLE SUNDERLAND, LLC
- Practice address
- 11940 W Central Ave Ste 118
Wichita, KS 67212-5180 - Phone
- (316) 371-5686
- NPI assigned
- Jun 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabrielle Sunderland, LCMFT
- Title
- Therapist
- Phone
- (316) 371-5686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
11940 W Central Ave Ste 118
Wichita, KS 67212-5180
Mailing address
PO Box 246
Garden Plain, KS 67050-0246
Phone (316) 371-5686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Wichita, KS
- NPI 1881177129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1689416661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 246",
"city": "GARDEN PLAIN",
"state": "KS",
"postal_code": "670500246",
"telephone_number": "316-371-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11940 W CENTRAL AVE STE 118",
"city": "WICHITA",
"state": "KS",
"postal_code": "672125180",
"telephone_number": "316-371-5686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GABRIELLE SUNDERLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "SUNDERLAND",
"authorized_official_first_name": "GABRIELLE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "316-371-5686",
"authorized_official_credential": "LCMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.