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JACKLYN R DERSTEIN LMFT
NPI 1407123680
Marriage & Family Therapist in Wichita, KS

Active since November 16, 2011
2604 W 9TH ST N, WICHITA, KS 67203(316) 295-4758 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacklyn R Derstein Lmft NPPES

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

JACKLYN R DERSTEIN LMFT (NPI 1407123680) is an individual marriage & family therapist in Wichita, Kansas, licensed in Kansas (1250) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1407123680
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACKLYN R DERSTEINCredential: LMFT
Location Address2604 W 9TH ST NWichita, KS 67203-4731
Mailing Address2561 S Greenwood StWichita, KS 67216-1255 · (316) 734-8855
Phone(316) 295-4758
Sole ProprietorYes
Enumeration DateNovember 16, 2011
✔ NPI 1407123680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in KS · 1250
Definition
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.
2604 W 9TH ST N, Wichita, KS 67203
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Other Providers at the Same Location NPPES 4

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

MS. HEIDI C MCDONALD MMFT, LCMFT
Marriage & Family Therapist
2604 W 9TH ST N, SUITE 205
WICHITA, KS 67203
Sedgwick County (316) 295-4758
DR. ANDREW MILLER D.C
Chiropractor
2604 W 9TH ST N, SUITE 100
WICHITA, KS 67203
Sedgwick County (316) 269-2692
JORDAN CHIROPRACTIC LLC
Chiropractor
2604 W 9TH ST N
WICHITA, KS 67203
Sedgwick County (316) 269-2692
DR. EMILY RENE GOMES DC
Chiropractor
2604 W 9TH ST N
WICHITA, KS 67203
Sedgwick County (316) 269-2692

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 Jacklyn Derstein's NPI number?

The NPI number for Jacklyn Derstein is 1407123680. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Where is Jacklyn Derstein located?

Jacklyn Derstein practices at 2604 W 9th St N, Wichita, KS 67203. The listed phone number is (316) 295-4758.

What is Jacklyn Derstein's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jacklyn Derstein was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.