McKenna Martin, LPC-T

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

04530-T Issued in KS

Practice address

635 N Main St
Wichita, KS 67203-3602

Phone

(316) 660-7500

NPI assigned

Nov 16, 2023

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

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Sedgwick

  • Public Health or Welfare Agency
  • Wichita, KS
  • NPI 1629281373
  Medicare reassignment NPD
• County of Sedgwick

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1982351706
  NPD (past)

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1699540922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 W 3RD ST N STE 600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021223",
            "telephone_number": "316-660-7600",
            "fax_number": "316-941-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033602",
            "telephone_number": "316-660-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MCKENNA",
        "credential": "LPC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04530-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Martin, LMSW
• Kathryn S Martin
• Keith Albert Martin, DDS
• Lamont Martin
• Lindsey Taylor Martin, OTR/L
• Melissa A Martin
• Minnie Martin, LSCSW
• Noelle Martin, LSCSW
• Phillip K Martin, PHD
• Ronda Ten Eych Martin, CRNA

• 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 Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.