Active NPI
Adam Gragg, LCMFT
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1891901856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCFMT241
- Practice address
- 1601 E Douglas Ave
Wichita, KS 67211-1609 - Phone
- (316) 262-8293
- Fax
- (316) 262-8829
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCFMT241 | KS | Primary |
Addresses
Primary practice location
1601 E Douglas Ave
Wichita, KS 67211-1609
Mailing address
7213 W Barrington St
Wichita, KS 67212-7323
Phone (316) 773-6634
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCFMT241 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891901856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7213 W BARRINGTON ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672127323",
"telephone_number": "316-773-6634",
"fax_number": "316-262-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672111609",
"telephone_number": "316-262-8293",
"fax_number": "316-262-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAGG",
"first_name": "ADAM",
"credential": "LCMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "LCFMT241",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.