Active NPI
Elyssa Salazar
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1710865290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 03749-T
- Practice address
- 2318 W University Ave
Wichita, KS 67213-3016 - Phone
- (620) 474-2665
- NPI assigned
- Aug 23, 2025
- Last updated
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 03749-T | KS | Primary |
Addresses
Primary practice location
2318 W University Ave
Wichita, KS 67213-3016
Mailing address
2318 W University Ave
Wichita, KS 67213-3016
Phone (620) 474-2665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03749-T | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Collective LLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1710865290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 W UNIVERSITY AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672133016",
"telephone_number": "620-474-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 W UNIVERSITY AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672133016",
"telephone_number": "620-474-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "ELYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-23",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "03749-T",
"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 Aug 27, 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.