Individual provider Active NPI

Derrick Prichard, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1710923024
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
678 Issued in KS
Practice address
253 S Grand Mere CT
Wichita, KS 67230-6428
Phone
(316) 250-6103
NPI assigned
Jun 22, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 524 KS
Marriage & Family Therapist 106H00000X 678 KS Primary

Addresses

Primary practice location

253 S Grand Mere CT
Wichita, KS 67230-6428

Mailing address

253 S Grand Mere CT
Wichita, KS 67230-6428
Phone (316) 250-6103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240820004803 FL Practitioner - Marriage and Family Therapist 1153639372 Reassigns benefits to 2 organizations
I20250312002421 KS Practitioner - Marriage and Family Therapist 1153639372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

801 E Douglas Ave
FL 2
Wichita, KS 67202-3548
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
524KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Psychiatry, LLC CurrentSince Aug 5, 2024 Accepting new patients
Sondermind, P.a. Marriage & Family Therapist CurrentSince Mar 3, 2025 Accepting new patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Mar 3, 2025 Accepting new patients
New Perspectives Past Accepting new patients
New Perspectives LLC Marriage & Family Therapist PastSince Aug 15, 2015 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

Organizations & group practices 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1710923024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 S GRAND MERE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672306428",
            "telephone_number": "316-250-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 S GRAND MERE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672306428",
            "telephone_number": "316-250-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "DERRICK",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "524",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.