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

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.

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 (4 clinicians)
Clinical Associates PA (23 clinicians)

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 IDStateProvider typePAC IDDetails
I20050511001022 KS Practitioner - Clinical Psychologist 6002856747 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP0864KSMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Psychological Services of Lawrence and Topeka Incorporated Current
since Jan 17, 2020
Accepting new patients

Locations

3500 Westridge Dr
Lawrence, KS 66049
Phone (785) 843-2429

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Newton, KS · Cognitive & Behavioral Psychologist in Kansas

Sources for this page

Verify at the official NPI Registry.