Organization Active NPI

Healing Path LLC

  • Mental Health Counselor
  • Wichita, KS
National Provider Identifier
1689485351
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING PATH LLC
Practice address
4601 E Douglas Ave Ste 120
Wichita, KS 67218-1032
Phone
(316) 535-9894
Fax
(316) 337-5531
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Jeanine CarderNPI 1013138957
Title
Owner
Phone
(316) 535-9894

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4601 E Douglas Ave Ste 120
Wichita, KS 67218-1032

Mailing address

249 Country View LN
Sterling, KS 67579-9552
Phone (316) 259-7018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1689485351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 COUNTRY VIEW LN",
            "city": "STERLING",
            "state": "KS",
            "postal_code": "675799552",
            "telephone_number": "316-259-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 120",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181032",
            "telephone_number": "316-535-9894",
            "fax_number": "316-337-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "CARDER",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-535-9894"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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 Jan 14, 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.