Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Heron Therapy LLC

Organization Clinical Social Worker · NPI 1407770324

Blue Heron Therapy LLC is a Clinical Social Worker in Wichita, Kansas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 N Broadway Ave Ste 235
Wichita, KS 67202-2300
Phone: (316) 247-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1407770324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Teran — Owner · (316) 247-4737
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address200 N Broadway Ave Ste 235, Wichita, KS 67202-2300

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