MEDICARE: KARLA HARTLEP LCMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	2911	KS
2	106H00000X	Marriage & Family Therapist	T-LMFT 2811	KS

General Provider Information

NPI Number	:	1396282703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA HARTLEP LCMFT

Provider Business Mailing Address
First Line	:	PO BOX 313
Second Line	:
City	:	AUGUSTA
State	:	KS
Zip	:	67010-0313
Country	:	US
Telephone Number	:	316-409-0565
Fax Number	:	865-915-0285

Provider Business Practice Location Address
First Line	:	515 N RIDGE RD STE 204
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67212-6389
Country	:	US
Telephone Number	:	316-409-0565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2017
Last Update Date	:	12/11/2025

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