Individual provider Active NPI

Jimmie Gene Lemons, ED.D.

  • Psychologist
  • Lenexa, KS
National Provider Identifier
1073511747
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
363 Issued in KS
Practice address
15700 College Blvd
Suite 201
Lenexa, KS 66219-1373
Phone
(913) 383-8977
Fax
(913) 383-3116
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 363 KS Primary

Addresses

Primary practice location

15700 College Blvd
Suite 201
Lenexa, KS 66219-1373

Mailing address

15700 College Blvd
Suite 201
Lenexa, KS 66219-1373
Phone (913) 383-8977

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
I20090309000227 KS Practitioner - Clinical Psychologist 4183618937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15700 College Blvd
Suite 201
Lenexa, KS 66219-1473
Phone (913) 383-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
363KSMDPsychologist

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1073511747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 COLLEGE BLVD",
            "address_2": "SUITE 201",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191373",
            "telephone_number": "913-383-8977",
            "fax_number": "913-383-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 COLLEGE BLVD",
            "address_2": "SUITE 201",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191373",
            "telephone_number": "913-383-8977",
            "fax_number": "913-383-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMONS",
        "first_name": "JIMMIE",
        "middle_name": "GENE",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.