Active NPI
Chad Childs, LCMFT
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1962593772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 689
- Practice address
- 4505 E 47TH St S
Wichita, KS 67210-1651 - Phone
- (316) 529-9100
- Fax
- (316) 529-9351
- NPI assigned
- Sep 27, 2006
- 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 | 689 | KS | Primary |
Addresses
Primary practice location
4505 E 47TH St S
Wichita, KS 67210-1651
Mailing address
4505 E 47TH St S
Wichita, KS 67210-1651
Phone (316) 529-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229020A | Medicaid | KS | |
| 829978 | Other | KS | BCBS |
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 |
|---|---|---|---|
| 689 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1962593772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 E 47TH ST S",
"city": "WICHITA",
"state": "KS",
"postal_code": "672101651",
"telephone_number": "316-529-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 E 47TH ST S",
"city": "WICHITA",
"state": "KS",
"postal_code": "672101651",
"telephone_number": "316-529-9100",
"fax_number": "316-529-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "CHAD",
"credential": "LCMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229020A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "829978",
"state": "KS"
}
],
"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 Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.