Audrey L. Martin LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AUDREY L. MARTIN LLC

Practice address

303 N West St Ste 220
Wichita, KS 67203-1269

Phone

(316) 302-4988

NPI assigned

Feb 8, 2021

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audrey MartinNPI 1124268065

Title

Owner

Phone

(316) 644-2944

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Audrey Leah Martin, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1124268065
  NPD Authorized official
• Vickie Farris

  • Mental Health Counselor
  • Hazelton, KS
  • NPI 1548479223
  NPD (past)

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1750973053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23527 SYCAMORE HEIGHTS RD",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618215",
            "telephone_number": "316-644-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N WEST ST STE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031269",
            "telephone_number": "316-302-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY L. MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-644-2944"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200656430B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.