Philip Gardner Ashley, MS, LCMFT

Individual provider Active NPI Marriage & Family Therapist · Wichita, KS

NPI 1982795415 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1982795415
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LCMFT #322 (KS)
Practice address
2900 N Rock Rd
Wichita, KS 67226-1144
Phone
(316) 683-4083
Fax
(316) 689-8431
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCMFT #322KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Therapy Solutions, LLC Marriage & Family Therapist Current Accepting new patients
Central Christian Church Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCMFT #322 KS Yes

Addresses

Primary practice location

2900 N Rock Rd
Wichita, KS 67226-1144

Mailing address

2900 N. Rock Road
Wichita, KS 67226-1198
Phone (316) 683-4083

Other providers in Wichita, KS

All providers in Wichita, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.