Individual provider Active NPI

Cheryl Denise Heggestad, LMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1770839920
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2347 Issued in KS
Practice address
560 N Exposition St
Wichita, KS 67203-5902
Phone
(316) 264-8317
NPI assigned
Jul 25, 2012
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2347 KS Primary

Addresses

Primary practice location

560 N Exposition St
Wichita, KS 67203-5902

Mailing address

502 N Tallyrand St
Wichita, KS 67206-1532
Phone (316) 250-3655

Other names 1

  • Miss Cheryl Denise Sharp Former name

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

LicenseStateTypeSpecialty
2347KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1770839920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N TALLYRAND ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061532",
            "telephone_number": "316-250-3655",
            "fax_number": "316-425-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N EXPOSITION ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035902",
            "telephone_number": "316-264-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGESTAD",
        "first_name": "CHERYL",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "SHARP",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 25, 2012; 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.