Individual provider Active NPI

Mary Catherine Jones, LCMFT, LCAC

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1821248535
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
828 Issued in KS
Practice address
555 N Woodlawn St Ste 102
Suite 102
Wichita, KS 67208-3671
Phone
(316) 652-2590
Fax
(316) 652-2595
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 566 KS
Marriage & Family Therapist 106H00000X 828 KS Primary

Addresses

Primary practice location

555 N Woodlawn St Ste 102
Suite 102
Wichita, KS 67208-3671

Mailing address

555 N Woodlawn St Ste 102
Suite 102
Wichita, KS 67208-3671
Phone (316) 652-2590

Other identifiers 1

IdentifierTypeStateIssuer
200576810AMedicaidKS

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
566KSMDAddiction (Substance Use Disorder) Counselor
828KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health America of South Central Kansas, Inc. PastSince Feb 20, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mary.jones@khindirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1821248535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST STE 102",
            "address_2": "SUITE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083671",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOODLAWN ST STE 102",
            "address_2": "SUITE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083671",
            "telephone_number": "316-652-2590",
            "fax_number": "316-652-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCMFT, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "566",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200576810A",
            "state": "KS"
        }
    ],
    "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 May 12, 2015; 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.