Jessica Anne Boulware, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

03553 Issued in KS

Practice address

1421 N Sport of Kings CT
Wichita, KS 67230-7152

Phone

(316) 251-0896

NPI assigned

Nov 10, 2023

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Integrative Psychotherapy LLC

  • Adult Mental Health Clinic/Center
  • Wichita, KS
  • NPI 1669247821
  NPD Authorized official

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1942074885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N SPORT OF KINGS CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307152",
            "telephone_number": "316-251-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N SPORT OF KINGS CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307152",
            "telephone_number": "316-251-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULWARE",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Boswell
• Maged Botros, MD
• Tiffany Bouddhara, MD
• Emily Ann Boughton, LPC
• Nour Boulad, M.D.
• Casandra Lynn Bourn, APRN, FNP-C
• Linda Jean Bourn, OT
• Alice Boutz, LMSW
• Susan Elizabeth Bouwmeester
• Patrick Bowen, DO

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.