Individual provider Active NPI

Haley Renae Rust, LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1992303002
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03405 Issued in KS
Practice address
1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875
Phone
(316) 660-9600
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 03190-T KS
Marriage & Family Therapist 106H00000X 03405 KS Primary

Addresses

Primary practice location

1938 N Woodlawn St Ste 400
Wichita, KS 67208-1875

Mailing address

15440 W 65TH St
Shawnee, KS 66217-9306
Phone (316) 789-5327

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
I20250702001258 KS Practitioner - Marriage and Family Therapist 5890208870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03190-TKSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick Current Accepting new patients
County of Sedgwick Mental Health CurrentSince Jun 6, 2025 Accepting new patients
County of Sedgwick CurrentSince Jun 6, 2025 Accepting new patients

Locations

350 S Broadway Ave
Wichita, KS 67202
Phone (316) 660-9600

1938 N Woodlawn St
Ste 400
Wichita, KS 67208
Phone (316) 660-9600

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

271 W 3rd St N
Ste 600
Wichita, KS 67202

Organizations & group practices 3

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1992303002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15440 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179306",
            "telephone_number": "316-789-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 N WOODLAWN ST STE 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081875",
            "telephone_number": "316-660-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "HALEY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "03190-T",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.