Individual provider Active NPI

Gina D Heyen, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1972578615
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
184 Issued in KS
Practice address
1223 N Rock Rd
Building G Suite 100
Wichita, KS 67206-1269
Phone
(316) 636-2888
Fax
(316) 636-2366
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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 184 KS Primary

Addresses

Primary practice location

1223 N Rock Rd
Building G Suite 100
Wichita, KS 67206-1269

Mailing address

1223 N Rock Rd
Building G Suite 100
Wichita, KS 67206-1269
Phone (316) 636-2888

Other names 1

  • Gina D Leigan Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
184KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Family Counselors LLC PastSince Nov 1, 2014 Accepting new patients

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1972578615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BUILDING G SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061269",
            "telephone_number": "316-636-2888",
            "fax_number": "316-636-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BUILDING G SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061269",
            "telephone_number": "316-636-2888",
            "fax_number": "316-636-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYEN",
        "first_name": "GINA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "LEIGAN",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 21, 2012; 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.