Organization Active NPI

Light Path Mental Health Services LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1760216451
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Deanna Ecklund, LSCSW, LMACNPI 1396160628
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20241008002585 KS Part B Supplier - Clinic/Group Practice 1254862717 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.