Active NPI
Lisa M Southern, LMLP, LCP
- Psychologist
- Garden City, KS
National Provider Identifier
1184676702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LCP 128
- Practice address
- 1145 E Kansas PLZ
Garden City, KS 67846-5870 - Phone
- (620) 275-0625
- Fax
- (620) 275-7908
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | LMLP 0495 | KS | |
| Psychologist | 103T00000X | LCP 128 | KS | Primary |
Addresses
Primary practice location
1145 E Kansas PLZ
Garden City, KS 67846-5870
Mailing address
1145 E Kansas PLZ
Garden City, KS 67846-5870
Phone (620) 275-0625
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E Spruce St
Garden City, KS 67846-5958
Phone (620) 276-7689
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMLP 0495 | KS | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Behavioral Health | Current | Accepting new patients | |
| Compass Behavioral Health | Past | Accepting new patients |
Locations
1145 E Kansas Plz
Garden City, KS 67846
Phone (620) 275-0625
1111 E Spruce St
Garden City, KS 67846
Phone (620) 276-7689
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden City, KS
- NPI 1922058510
-
- Community/Behavioral Health Agency
- Garden City, KS
- NPI 1891488474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184676702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 E KANSAS PLZ",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465870",
"telephone_number": "620-275-0625",
"fax_number": "620-275-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 E KANSAS PLZ",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465870",
"telephone_number": "620-275-0625",
"fax_number": "620-275-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERN",
"first_name": "LISA",
"middle_name": "M",
"credential": "LMLP, LCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KS",
"license": "LMLP 0495",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "LCP 128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.