Individual provider Active NPI

Kaelyn Nichols, LMFT-T

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1962389684
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT03745-T Issued in KS
Practice address
6617 W Central Ave
Wichita, KS 67212-3385
Phone
(316) 201-4063
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 LMFT03745-T KS Primary

Addresses

Primary practice location

6617 W Central Ave
Wichita, KS 67212-3385

Mailing address

1123 N Coachhouse CT
Wichita, KS 67235-9729
Phone (316) 712-2312

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

LicenseStateTypeSpecialty
LMFT03745-TKSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Therapy Stop Marriage & Family Therapist CurrentSince Nov 11, 2025 Accepting new patients

Locations

6617 W Central Ave
Wichita, KS 67212
Phone (316) 201-4063

Organizations & group practices 1

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1962389684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N COACHHOUSE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359729",
            "telephone_number": "316-712-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123385",
            "telephone_number": "316-201-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KAELYN",
        "credential": "LMFT-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LMFT03745-T",
            "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 Oct 27, 2025; 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.