Active NPI
Antigone Marie Means, PHD
- Clinical Psychologist
- Iola, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1177
- Practice address
- 304 N Jefferson
Iola, KS 66749 - Phone
- (620) 365-5717
- Fax
- (620) 365-8255
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP1177 | KS | Primary |
Addresses
Primary practice location
304 N Jefferson
Iola, KS 66749
Mailing address
304 N Jefferson
PO Box 807
Iola, KS 66749
Phone (620) 365-5717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119766 | Other | KS | BLUE SHIELD |
Other names 1
- Dr. Antigone Marie Means
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
304 N Jefferson Ave
Iola, KS 66749-2327
Phone (620) 365-5717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1177 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Kansas Mental Health Center | Current | Accepting new patients | |
| Southeast Kansas Mental Health Center | Past | Accepting new patients |
Locations
519 S Elm St
Garnett, KS 66032
Phone (620) 238-3883
1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241
304 N Jefferson Ave
Iola, KS 66749
Phone (620) 365-5717
204 S Main St
Yates Center, KS 66783
Phone (620) 625-2162
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Humboldt, KS
- NPI 1467414771
-
- Pharmacy
- Humboldt, KS
- NPI 1922889575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033261664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N JEFFERSON",
"address_2": "PO BOX 807",
"city": "IOLA",
"state": "KS",
"postal_code": "66749",
"telephone_number": "620-365-5717",
"fax_number": "620-365-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N JEFFERSON",
"city": "IOLA",
"state": "KS",
"postal_code": "66749",
"telephone_number": "620-365-5717",
"fax_number": "620-365-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEANS",
"first_name": "ANTIGONE",
"middle_name": "MARIE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "LP1177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "119766",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANTIGONE",
"last_name": "MEANS",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Iola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.