LESLIE BROADHEAD (NPI# 1174824916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174824916 |
| Entity Type | Individual |
| Full Name | LESLIE BROADHEAD |
| Credential | T-LMFT |
| Practice Address |
7701 E Kellogg Dr Ste. 300 Wichita KS 67207-1706 |
| Mailing Address |
635 N Main St Wichita KS 67203-3602 |
| Practice Telephone | 3166609600 |
| Practice Fax Number | 3166609660 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3166607510 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1167 | KS | Behavioral Health & Social Service Providers |
| Street Address |
7701 E KELLOGG DR STE. 300 |
| City | WICHITA |
| State | KS |
| Zip Code | 67207-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842976 | Sara A Pavlick | Social Worker | 7701 E Kellogg Dr, Suite 300, Wichita, KS 67207-1706 | 2005-06-28 |
| 1285026351 | House Call Medical Services LLC | Nurse Practitioner | 7701 E Kellogg Dr, Suite 490, Wichita, KS 67207-1706 | 2015-02-26 |
| 1306254461 | Heather Gaugler | Nurse Practitioner | 7701 E Kellogg Dr, Wichita, KS 67207-1706 | 2014-07-31 |
| 1740615194 | Emily Meyerhoffer-kubalik | Psychologist | 7701 E Kellogg Dr, Ste 300, Wichita, KS 67207-1706 | 2013-09-04 |
| 1134479165 | Karla L Seymore | Social Worker | 7701 E Kellogg Dr, Ste 300, Wichita, KS 67207-1706 | 2012-09-18 |
| 1710244603 | Kateland W Welch | Marriage & Family Therapist | 7701 E Kellogg Dr, Ste 300, Wichita, KS 67207-1706 | 2012-04-16 |
| 1841585023 | Kayla Erickson | Case Manager/Care Coordinator | 7701 E Kellogg Dr, Suite 300, Wichita, KS 67207-1706 | 2011-06-15 |
| 1568778504 | Jennifer Wilson | Social Worker | 7701 E Kellogg Dr, Ste. 300, Wichita, KS 67207-1706 | 2010-08-27 |
| 1982857850 | John E Henshall | Social Worker | 7701 E Kellogg Dr, Ste. 300, Wichita, KS 67207-1706 | 2008-10-23 |
| 1215186879 | Dawnele Diane Taylor | Nurse Practitioner | 7701 E Kellogg Dr, Suite 490, Wichita, KS 67207-1706 | 2008-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527518 | Transition Adult Home | Day Training, Developmentally Disabled Services | 7422 E Lincoln St, Wichita, KS 67207 | 2018-05-02 |
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1245623677 | Costco Wholesale Corporation | Pharmacy | 9700 E. Kellogg, Wichita, KS 67207 | 2015-03-10 |
| 1528468105 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 | 2014-09-02 |
| 1962819110 | Lauren Carrillo | Marriage & Family Therapist | 111 S Whittier St Ste 1500, Wichita, KS 67207 | 2014-07-21 |
| 1962827170 | Providence Home Health & Hospice LLC. | Home Health | 9415 E Harry St Ste 703, Wichita, KS 67207 | 2014-02-25 |
| 1396089892 | Christina Rhinesmith | Speech-Language Pathologist | 12618 E Willowgreen Circle, Wichita, KS 67207 | 2012-11-21 |
| 1528360047 | Compassionate Care Home Health Agency | Home Health | 9152 Funston Ct., Wichita, KS 67207 | 2010-12-04 |
| 1477769503 | Patricia Marie Sloop | Social Worker | 1950 S. Webb Rd., Unit #121, Wichita, KS 67207 | 2007-05-15 |
| 1174738298 | Jarrod S Steffan | Psychologist | 9920 East Harry, Wichita, KS 67207 | 2007-05-11 |
| Find all providers in zip 67207 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647264 | Wichita Therapy Stop | Marriage & Family Therapist | 530 N Ridge Rd Ste A, Wichita, KS 67212-6576 | 2020-10-21 |
| 1689272080 | Todd Michael Hook | Marriage & Family Therapist | 15903 E Rosewood St, Wichita, KS 67230-7607 | 2020-10-16 |
| 1023615853 | Gabrielle Jones | Marriage & Family Therapist | 825 N Waco Ave Ste 200, Wichita, KS 67203-3939 | 2020-10-05 |
| 1245845338 | Raneisha Hunter | Marriage & Family Therapist | 622 E. Douglasave, Wichita, KS 67202 | 2020-09-15 |
| 1861006769 | Sarah Lyon | Marriage & Family Therapist | 622 E Douglas Ave, Wichita, KS 67202-3504 | 2020-09-08 |
| 1639781750 | Breathelife Therapy That Heals LLC | Marriage & Family Therapist | 7200 W 13th St N Ste 103, Wichita, KS 67212-2943 | 2020-08-19 |
| 1548872666 | The Therapy Place, LLC | Marriage & Family Therapist | 7200 W 13th St N Ste 105, Wichita, KS 67212-2943 | 2020-08-19 |
| 1265043681 | Terry Lee Robey | Marriage & Family Therapist | 514 N Dodge Ave, Wichita, KS 67203-5905 | 2020-08-10 |
| 1508499633 | Ashley Therapy Solutions, LLC | Marriage & Family Therapist | 550 N 159th St E Ste 128, Wichita, KS 67230-7568 | 2020-02-17 |
| 1811527948 | Echo Edwards Wentz | Marriage & Family Therapist | 3121 N Cromwell Dr, Wichita, KS 67204-4445 | 2020-01-16 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.