Active NPI
Gina D Heyen, LCMFT
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1972578615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 184
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 184 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Family Counselors LLC | Past | 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.
-
- Mental Health Counselor
- Wichita, KS
- NPI 1861642803
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.