Individual provider Active NPI

Jessica Dawn Geide, LMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1922476464
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2759 Issued in KS
Practice address
5745 E Central Ave
Wichita, KS 67208-4202
Phone
(316) 252-3146
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 2759 KS Primary

Addresses

Primary practice location

5745 E Central Ave
Wichita, KS 67208-4202

Mailing address

5745 E Central Ave
Wichita, KS 67208-4202
Phone (316) 252-3146

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
I20250804002257 KS Practitioner - Marriage and Family Therapist 2961910617 Reassigns benefits to 1 organization
Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2230 N Ridge Rd
Wichita, KS 67205-1053

5745 E Central Ave
Wichita, KS 67208-4202
Phone (316) 252-3146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2759KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Geide LMFT CurrentSince Jul 28, 2024 Accepting new patients
Wichita Primary Care LLC CurrentSince Aug 2, 2025 Accepting new patients

Locations

2230 N Ridge Rd
Wichita, KS 67205
Phone (316) 448-8339

5745 E Central Ave
Wichita, KS 67208
Phone (316) 315-2121

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1922476464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084202",
            "telephone_number": "316-252-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084202",
            "telephone_number": "316-252-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIDE",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.