Individual provider Active NPI

Katina Dawn Parker, LCAC

  • Psychologist
  • Wichita, KS
National Provider Identifier
1841464856
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2756 Issued in KS
Practice address
8911 E Orme St
Wichita, KS 67207-2423
Phone
(163) 395-9395
NPI assigned
Apr 22, 2008
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00862 KS
Professional Counselor 101YP2500X 1000 KS
Psychologist 103T00000X 2756 KS Primary

Addresses

Primary practice location

8911 E Orme St
Wichita, KS 67207-2423

Mailing address

8911 E Orme St Ste a
Wichita, KS 67207-2424
Phone (316) 686-7884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327000990 KS Practitioner - Mental Health Counselor 9133642416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ralph Bharati, MD, PAGroup PAC ID 0042206229, 7 clinicians

Practice addresses (Care Compare)

8911 E Orme St
Suite a
Wichita, KS 67207-2424
Phone (316) 686-7884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00862KSMDAddiction (Substance Use Disorder) Counselor
2756KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Integrated Care CurrentSince Jan 19, 2025 Accepting new patients
Northstar Hospital LLC Addiction (Substance Use Disorder) CurrentSince Jan 19, 2025 Accepting new patients
Ralph Bharati, MD, PA Addiction (Substance Use Disorder) CurrentSince Jan 16, 2025 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Sep 15, 2008 Accepting new patients

Locations

8911 E Orme St
Wichita, KS 67207
Phone (316) 686-7884

8911 E Orme St
Ste A
Wichita, KS 67207
Phone (316) 425-7774

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1841464856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 E ORME ST STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072424",
            "telephone_number": "316-686-7884",
            "fax_number": "316-686-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 E ORME ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072423",
            "telephone_number": "163-395-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATINA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "00862",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "1000",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.