Alive Family Psychiatry LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Leavenworth, KS
NPI 1114815917 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1114815917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ALIVE FAMILY PSYCHIATRY LLC
- Practice address
- 380 Limit St
Leavenworth, KS 66048-4525 - Phone
- (816) 845-8550
- Fax
- (816) 219-6965
- NPI assigned
- Jun 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Julia W Fields, PMHNP-BC
- Title
- Ceo
- Phone
- (816) 845-8550
Corporate family (same tax ID) 1
Practitioners 5
-
Julia W Fields, PMHNP-BC
-
Lynn Saunders Hoffmann, PSYD
-
Judith M Johnson, MSN, APRN, BC
-
Janice Mayer, PMHNP
-
Senait E Gebreab, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260122003167 | KS | Part B Supplier - Clinic/Group Practice | 7618454471 |
Receives reassigned benefits from 5 practitioners Practice locations: Leavenworth, KS |
National Provider Directory
- Tax ID family
- Alive Family Psychiatry
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
380 Limit St
Leavenworth, KS 66048-4525
Mailing address
380 Limit St
Leavenworth, KS 66048-4525
Phone (816) 845-8550
Other names
- Alive Family Psychiatry
Other providers in Leavenworth, KS
- Lee David Albee
- Michael Douglas Albright
- Laura Alexander
- Aligned Health Chiropractic, LLC
- Alive Family Psychiatry
- Alive Family Psychiatry LLC
- Dellmen Allen
- Donna Jean Allen
- Martha J Allen
- Jewel Alvis
All providers in Leavenworth, KS · Psychiatric/Mental Health Nurse Practitioner 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, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.