Organization Active NPI

Glenda Rodgers-Lawless, PH.D., LCPC, PA

  • Community/Behavioral Health Agency
  • Wichita, KS
National Provider Identifier
1053660142
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCPC 275 Issued in KS
Legal business name
GLENDA RODGERS-LAWLESS, PH.D., LCPC, PA
Practice address
4601 E Douglas
Wichita, KS 67218
Phone
(316) 337-5530
Fax
(316) 337-5531
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Glenda S Rodgers-Lawless, PH.D.
Title
Owner/Ceo
Phone
(913) 553-7858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCPC 275 KS Primary

Addresses

Primary practice location

4601 E Douglas
Wichita, KS 67218

Mailing address

4601 E Douglas
Wichita, KS 67218
Phone (316) 337-5530

Other identifiers 1

IdentifierTypeStateIssuer
200428700AMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1053660142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-337-5530",
            "fax_number": "316-337-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-337-5530",
            "fax_number": "316-337-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA RODGERS-LAWLESS, PH.D., LCPC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "RODGERS-LAWLESS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "913-553-7858",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "LCPC 275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428700A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.