Organization Active NPI

Ict Hope Therapy Center, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1710644422
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ICT HOPE THERAPY CENTER, LLC
Practice address
9415 E Harry St Ste 208
Wichita, KS 67207-5076
Phone
(316) 573-7343
Fax
(316) 221-7159
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Heather Ann Spencer, LSCSW, LMAC, RPTNPI 1710282801
Title
Owner/Therapist
Phone
(316) 573-7343

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9415 E Harry St Ste 208
Wichita, KS 67207-5076

Mailing address

9415 E Harry St Ste 503
Wichita, KS 67207-5082
Phone (316) 573-7343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220217000556 KS Part B Supplier - Clinic/Group Practice 4284027137 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

9415 E Harry St
Ste 503
Wichita, KS 67207
Phone (316) 570-1684

9415 E Harry St
Ste 208
Wichita, KS 67207
Phone (316) 573-7343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1710644422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 503",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075082",
            "telephone_number": "316-573-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075076",
            "telephone_number": "316-573-7343",
            "fax_number": "316-221-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICT HOPE THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "316-573-7343",
        "authorized_official_credential": "LSCSW, LMAC, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Mar 2, 2022; 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.

Verify at the official NPI Registry.