Individual provider Active NPI

Echo Edwards Wentz, LMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1811527948
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3100 Issued in KS
Practice address
3121 N Cromwell Dr
Wichita, KS 67204-4445
Phone
(316) 494-1151
NPI assigned
Jan 16, 2020
Last updated
Jan 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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 3100 KS Primary

Addresses

Primary practice location

3121 N Cromwell Dr
Wichita, KS 67204-4445

Mailing address

3121 N Cromwell Dr
Wichita, KS 67204-4445
Phone (316) 494-1151

Other practice location 1

350 S Broadway Ave
Wichita, KS 67202-4304
Phone (316) 660-9600

Other names 1

  • Echo Wentz Other 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
3100KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1811527948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N CROMWELL DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672044445",
            "telephone_number": "316-494-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N CROMWELL DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672044445",
            "telephone_number": "316-494-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672024304",
            "country_code": "US",
            "telephone_number": "316-660-9600",
            "fax_number": "316-660-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "ECHO",
        "middle_name": "EDWARDS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "3100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ECHO",
            "last_name": "WENTZ",
            "credential": "LMFT",
            "code": "5",
            "type": "Other 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 Jan 21, 2020; 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.