Individual provider Active NPI

Kristin Rose, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1982323101
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03393 Issued in KS
Practice address
800 E 1St St N Ste 240
Wichita, KS 67202-2740
Phone
(316) 285-0268
NPI assigned
Aug 22, 2022
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 03393 KS Primary

Addresses

Primary practice location

800 E 1St St N Ste 240
Wichita, KS 67202-2740

Mailing address

800 E 1St St N Ste 240
Wichita, KS 67202-2740

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
I20250524000161 KS Practitioner - Marriage and Family Therapist 3779002597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ict Therapyworks, LLCGroup PAC ID 6709176118, 9 clinicians

Practice addresses (Care Compare)

800 E 1St St
Suite 240
Wichita, KS 67202-2740
Phone (316) 285-0268

8100 E 22ND St N
BLDG 2100 Suite 1
Wichita, KS 67226-2350
Phone (316) 260-6889

8100 E 22ND St N
Suite 2
Wichita, KS 67226-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03393KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ict Therapy Works, LLC Marriage & Family Therapist CurrentSince May 1, 2025 Accepting new patients
Brain and Body Psychotherapy LLC Marriage & Family Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

545 N Woodlawn St
Wichita, KS 67208
Phone (316) 260-6889

800 E 1st St N
Ste 240
Wichita, KS 67202
Phone (316) 260-6889

Organizations & group practices 2

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1982323101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST N STE 240",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST N STE 240",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022740",
            "telephone_number": "316-285-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KRISTIN",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.