Individual provider Active NPI

Kylee Brant, LCMFT

  • Marriage & Family Therapist
  • Hutchinson, KS
National Provider Identifier
1972059350
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2905 Issued in KS
Practice address
1600 N Lorraine St
Ste 202
Hutchinson, KS 67501-5670
Phone
(620) 663-7595
Fax
(620) 663-5263
NPI assigned
Aug 26, 2016
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 2905 KS Primary

Addresses

Primary practice location

1600 N Lorraine St
Ste 202
Hutchinson, KS 67501-5670

Mailing address

1600 N Lorraine St
Ste 202
Hutchinson, KS 67501-5670
Phone (620) 663-7595

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
I20260113001716 KS Practitioner - Marriage and Family Therapist 2567948276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6617 W Central Ave
Wichita, KS 67212-3385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2905KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Therapy Stop Marriage & Family Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

530 N Ridge Rd
Ste A
Wichita, KS 67212
Phone (316) 201-4063

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1972059350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST",
            "address_2": "STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015670",
            "telephone_number": "620-663-7595",
            "fax_number": "620-513-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST",
            "address_2": "STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015670",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANT",
        "first_name": "KYLEE",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.