Kathy Anne Pearce, LP
Individual provider Active NPI Cognitive & Behavioral Psychologist · Newton, KS
NPI 1104808682 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104808682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cognitive & Behavioral Psychologist 103TB0200X
- License
- LP0864 (KS)
- Practice address
- 1901 E 1St St
Newton, KS 67114 - Phone
- (316) 284-6400
- Fax
- (316) 284-6491
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christian Psychological Services of Lawrence and Topeka Incorporated
Clinical Associates PA
Practice addresses (Care Compare)
3500 Westridge Dr
Lawrence, KS 66049-2258
8629 Bluejacket St
Lenexa, KS 66214-1604
Phone (913) 677-3553
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050511001022 | KS | Practitioner - Clinical Psychologist | 6002856747 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0864 | KS | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Psychological Services of Lawrence and Topeka Incorporated | Current |
Accepting new patients |
Locations
3500 Westridge Dr
Lawrence, KS 66049
Phone (785) 843-2429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | LP0864 | KS | Yes |
Addresses
Primary practice location
1901 E 1St St
Newton, KS 67114
Mailing address
1901 E 1St St
Newton, KS 67114
Phone (316) 284-6400
NPI Registry JSON
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104808682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E 1ST ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "67114",
"telephone_number": "316-284-6400",
"fax_number": "316-284-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 E 1ST ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "67114",
"telephone_number": "316-284-6400",
"fax_number": "316-284-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "KATHY",
"middle_name": "ANNE",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KS",
"license": "LP0864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, KS
- Rohit C Patel
- Ricardo F Patron
- Michael Pauldine
- Laura Michelle Paulus
- Lindsay D Pauly
- Lindsey Pearce
- Jessica Leigh Peeling
- Peerlink Premier Pathways
- Shannon Pelzel
- Haleigh Penafiel
All providers in Newton, KS · Cognitive & Behavioral Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.