Active NPI
Jody C Patterson, LMLP
- Clinical Psychologist
- Wichita, KS
National Provider Identifier
1750321600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0686
- Practice address
- 6606 W Central Ave
Wichita, KS 67212-3315 - Phone
- (316) 221-2661
- Fax
- (316) 636-1190
- NPI assigned
- Jun 8, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0686 | KS | Primary |
Addresses
Primary practice location
6606 W Central Ave
Wichita, KS 67212-3315
Mailing address
6606 W Central Ave
Wichita, KS 67212-3315
Phone (316) 221-2661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14412 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 201267 | Other | KS | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 0686 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leatanya E Koppa, LLC | Past | Accepting new patients | |
| County of Sedgwick | Past | Accepting new patients | |
| The Therapy Center, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Group Psychotherapy Psychologist
- Wichita, KS
- NPI 1962201483
-
- Public Health or Welfare Agency
- Wichita, KS
- NPI 1629281373
-
- Professional Counselor
- Wichita, KS
- NPI 1316839061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1750321600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6606 W CENTRAL AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123315",
"telephone_number": "316-221-2661",
"fax_number": "316-636-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 W CENTRAL AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123315",
"telephone_number": "316-221-2661",
"fax_number": "316-636-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JODY",
"middle_name": "C",
"credential": "LMLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "0686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH SYSTEMS",
"identifier": "14412",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "201267",
"state": "KS"
}
],
"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 May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.