Individual provider Active NPI

Antigone Marie Means, PHD

  • Clinical Psychologist
  • Iola, KS
National Provider Identifier
1033261664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1177 Issued in KS
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
119766OtherKSBLUE SHIELD

Other names 1

  • Dr. Antigone Marie Means Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000560 KS Practitioner - Clinical Psychologist 4082730825 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LP1177KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Kansas Mental Health Center CurrentSince May 5, 2003 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.

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

Verify at the official NPI Registry.