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KETHLYN ANN STAAB LMFT
NPI 1487204707
Marriage & Family Therapist in Hutchinson, KS

Active since September 18, 2019PECOS EnrolledAccepts Medicare Assignment
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501(620) 663-7595(620) 663-5263 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2021, Jan 9, 2020, Sep 18, 2019 (3 updates tracked since 2019).

About Kethlyn Ann Staab Lmft NPPES

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

KETHLYN ANN STAAB LMFT (NPI 1487204707) is an individual marriage & family therapist in Hutchinson, Kansas, licensed in Kansas (3154) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487204707
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKETHLYN ANN STAABCredential: LMFT
Location Address1600 N LORRAINE ST STE 202Hutchinson, KS 67501-5600
Mailing Address1600 N Lorraine St Ste 202Hutchinson, KS 67501-5600 · (620) 663-7595 · Fax (620) 513-5098
Phone(620) 663-7595
Fax(620) 663-5263
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 18, 2019
Last NPPES UpdateMarch 25, 20213 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1487204707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in KS · 3154✔ Licensed in KS · 3088
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.
1600 N LORRAINE ST STE 202, Hutchinson, KS 67501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kethlyn Ann Staab Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810405859
PECOS Enrollment IDI20250805004111
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kethlyn Staab reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healing Life Therapy, LLC
44 mi
Marriage & Family Therapist
111 S WHITTIER RD
Wichita, KS 67207
  • Reassigned Medicare billing, Kansas enrollment
NPI 1730944984 (316) 706-7039

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

JANE A HOLZRICHTER LMSW
Social Worker
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 663-7595
LAURA L MARTINEZ LSCSW
Social Worker (Clinical)
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 663-7595
CAMMIE L RUMBACK LCPC
Counselor (Mental Health)
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 663-7595
ABIGAIL D OSBORNE
Behavior Technician
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 663-7595
TABITHA LEANN MANCHE LPC
Counselor (Professional)
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 663-7595
ANGELA R BOICE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 663-7595
JENNIFER A PITTS CNA
Nurse's Aide
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 663-7595
REBECCA ELLEN GLAZIER LSCSW
Social Worker (Clinical)
1600 N LORRAINE ST STE 202
HUTCHINSON, KS 67501
Reno County (620) 617-6856

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 Kethlyn Staab's NPI number?

The NPI number for Kethlyn Staab is 1487204707. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Kethlyn Staab located?

Kethlyn Staab practices at 1600 N Lorraine St Ste 202, Hutchinson, KS 67501. The listed phone number is (620) 663-7595.

What is Kethlyn Staab's specialty?

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

Is Kethlyn Staab enrolled in Medicare?

Yes. Kethlyn Staab is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kethlyn Staab's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kethlyn Staab reassigns Medicare benefits to Healing Life Therapy, LLC (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kethlyn Staab's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kethlyn Staab was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.