Individual provider Active NPI

Lisa M Southern, LMLP, LCP

  • Psychologist
  • Garden City, KS
National Provider Identifier
1184676702
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LCP 128 Issued in KS
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701004004 KS Practitioner - Mental Health Counselor 1456600923 Reassigns benefits to 1 organization

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
Compass Behavioral HealthGroup PAC ID 1355323122, 29 clinicians

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

LicenseStateTypeSpecialty
LMLP 0495KSMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health CurrentSince Jun 3, 2024 Accepting new patients
Compass Behavioral Health PastSince Jun 4, 2023 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.

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

Verify at the official NPI Registry.