Healing Life Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

HEALING LIFE THERAPY, LLC

Practice address

111 S Whittier Rd
Wichita, KS 67207-1045

Phone

(316) 706-7039

NPI assigned

Feb 16, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Kethlyn Staab, LMFTNPI 1487204707

Title

Provider/Owner

Phone

(316) 706-3984

Specialties & licenses 1

Addresses

Other names 1

• Kethlyn Staab Other name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

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

• Kethlyn Ann Staab, LMFT

  • Marriage & Family Therapist
  • Hutchinson, KS
  • NPI 1487204707
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1730944984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WHITTIER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071045",
            "telephone_number": "316-518-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WHITTIER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071045",
            "telephone_number": "316-706-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING LIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "STAAB",
        "authorized_official_first_name": "KETHLYN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "316-706-3984",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kethlyn Staab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kethlyn Staab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Healing Matters LLC
• Healing Path Behavioral Health
• Healing Path LLC
• Healing Roots Therapy LLC
• Healing Waters Wichita LC

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.