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BESPOKE THERAPY & CO. LLC
NPI 1245111574
Social Worker - Clinical in Wichita, KS

Active since September 11, 2025
555 N WOODLAWN ST STE 120, WICHITA, KS 67208(316) 631-2454(316) 669-8500 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bespoke Therapy & Co. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BESPOKE THERAPY & CO. LLC (NPI 1245111574) is a healthcare organization registered as a clinical in Wichita, Kansas and active in the NPI registry since September 2025. The organization lists Evangeline Claire Payne, Owner, as its authorized official.

NPPES Registry Identity

NPI1245111574
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBESPOKE THERAPY & CO. LLC
Location Address555 N WOODLAWN ST STE 120Wichita, KS 67208-3678
Mailing Address168 S Wellcrest CtGoddard, KS 67052-9591 · (316) 631-2454 · Fax (316) 669-8500
Phone(316) 631-2454
Fax(316) 669-8500
Organization SubpartNo
Authorized OfficialEvangeline Claire PayneOwner · (316) 631-2454
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1245111574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
555 N WOODLAWN ST STE 120, Wichita, KS 67208
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
555 N WOODLAWN ST STE 120
WICHITA, KS 67208
Sedgwick County (316) 214-0372
CANVAS OF CHANGE, LLC
Counselor (Professional)
555 N WOODLAWN ST STE 120
WICHITA, KS 67208
Sedgwick County (316) 201-6294
SENIOR CARE SERVICES INC
Pharmacy (Long Term Care Pharmacy)
555 N WOODLAWN ST STE 120
WICHITA, KS 67208
Sedgwick County (316) 945-7455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bespoke Therapy & Co. LLC's NPI number?

The NPI number for Bespoke Therapy & Co. LLC is 1245111574. It was assigned to this organization in the NPPES registry on September 11, 2025.

Where is Bespoke Therapy & Co. LLC located?

Bespoke Therapy & Co. LLC is located at 555 N Woodlawn St Ste 120, Wichita, KS 67208. The listed phone number is (316) 631-2454.

What is Bespoke Therapy & Co. LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bespoke Therapy & Co. LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.