Active NPI
Light Path Mental Health Services LLC
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1760216451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIGHT PATH MENTAL HEALTH SERVICES LLC
- Practice address
- 1421 E 2ND St N
Wichita, KS 67214-4119 - Phone
- (316) 390-2977
- Fax
- (316) 900-4748
- NPI assigned
- Aug 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deanna Ecklund, LSCSW, LMAC
- Title
- Director
- Phone
- (316) 390-2977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1421 E 2ND St N
Wichita, KS 67214-4119
Mailing address
1421 E 2ND St N
Wichita, KS 67214-4119
Phone (316) 390-2977
Other practice location 1
5025 E Kellogg Dr
Wichita, KS 67218-1500
Phone (316) 806-9887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1421 E 2nd St N
Wichita, KS 67214
Phone (316) 685-9311
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Wichita, KS
- NPI 1255149134
-
- Peer Specialist
- Wichita, KS
- NPI 1861209215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1760216451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 E 2ND ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144119",
"telephone_number": "316-390-2977",
"fax_number": "316-900-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 E 2ND ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144119",
"telephone_number": "316-390-2977",
"fax_number": "316-900-4748"
}
],
"practiceLocations": [
{
"address_1": "5025 E Kellogg Dr",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672181500",
"country_code": "US",
"telephone_number": "316-806-9887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIGHT PATH MENTAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-27",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "ECKLUND",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "316-390-2977",
"authorized_official_credential": "LSCSW, LMAC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Jul 9, 2026; 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.