Imani Counseling Center

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

IMANI COUNSELING CENTER

Practice address

1830 S Goebel St
Wichita, KS 67207-7114

Phone

(316) 207-4850

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Williams, LMSW

Title

Therapist

Phone

(316) 207-4850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1780369876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S GOEBEL ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672077114",
            "telephone_number": "316-207-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S GOEBEL ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672077114",
            "telephone_number": "316-207-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "316-207-4850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.