Individual provider Active NPI

Stephanie Leann Wick, M.S.

  • Marriage & Family Therapist
  • Manhattan, KS
National Provider Identifier
1851410922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
746 Issued in KS
Practice address
1019 Poyntz Ave Ste C
Manhattan, KS 66502-6760
Phone
(785) 539-5455
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 746 KS Primary

Addresses

Primary practice location

1019 Poyntz Ave Ste C
Manhattan, KS 66502-6760

Mailing address

1019 Poyntz Ave Ste C
Manhattan, KS 66502-6760
Phone (785) 539-5455

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
I20240502001114 KS Practitioner - Marriage and Family Therapist 8729369889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrews and Associates IncGroup PAC ID 2769574748, 5 clinicians

Practice addresses (Care Compare)

4201 Anderson Ave
Suite D110
Manhattan, KS 66503-7603
Phone (785) 539-5455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
746KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unbound Recovery LLC PastSince Jun 9, 2026 Accepting new patients

Organizations & group practices 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851410922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 POYNTZ AVE STE C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026760",
            "telephone_number": "785-539-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 POYNTZ AVE STE C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026760",
            "telephone_number": "785-539-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "STEPHANIE",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.