BRICE SANNER (LCMFT) – Marriage & Family Therapist, NPI 1053967737

BRICE SANNER (LCMFT) is a healthcare provider. based in Andover, Kansas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LCMFT. They hold a License No. 3066 (KS). The NPI Number for BRICE SANNER (LCMFT) is 1053967737

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BRICE SANNER (LCMFT)
NPI
1053967737
Phone
(316) 247-3063
Address
1400 Terradyne Dr Ste 309
Enumeration Date
17 August 2019
Last Update Date
19 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162473063
Graduation Year
2019 (7 years ago)
PAC ID
6800249079
Group Practice PAC ID
6103180690
Professional Enrollment ID
I20240131003531
Address ID
KS672307517WI550XXEXXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

163 MARRIAGE AND FAMILY THERAPIST in KS

Provider Addresses for BRICE SANNER (LCMFT)

  • 1400 Terradyne Dr Ste 309

    Andover, KS 670029264

    Phone: (316) 247-3063

    Fax: (316) 247-6833

    Type: Location

  • 149 S Andover Rd Ste 600

    Andover, KS 670028064

    Phone: (316) 247-3063

    Fax: (316) 247-6833

    Type: Location

  • PO BOX 626

    ANDOVER, KS 670020626

    Phone: (316) 247-3063

    Fax: (316) 247-6833

    Type: Mailing

  • 100, Aggy Way, Andover, Oxford County, Maine, 04216, United States

    ANDOVER, KS 670027935

    Phone: (316) 247-3063

    Fax: (316) 247-6833

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240124003623IClinical Social WorkerKSTBD
I20240131003531IMarriage And Family TherapistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103180690View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical Social WorkerKS
Clinical PsychologistKS

Reviews

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Frequently asked questions

How do I look up BRICE SANNER (LCMFT) by NPI?
Use NPI 1053967737 when you need to reference BRICE SANNER (LCMFT) in forms, claims, or directories.
Does this profile mean BRICE SANNER (LCMFT) is currently active?
Yes — BRICE SANNER (LCMFT) appears active in the national provider directory.
What field does BRICE SANNER (LCMFT) work in?
You can think of BRICE SANNER (LCMFT) as practicing within Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRICE SANNER (LCMFT)?
The page summarizes Andover, Kansas for BRICE SANNER (LCMFT); expand the address list for detail.
Is BRICE SANNER (LCMFT) a real provider?
This page reflects official NPPES data for NPI 1053967737. Always confirm identity and privileges with the practice and licensing boards.

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