Active NPI
Andra Wischmeier, LMLP
- Clinical Psychologist
- Lawrence, KS
National Provider Identifier
1205110871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2400
- Practice address
- 200 Maine St
Suite a
Lawrence, KS 66044-1368 - Phone
- (785) 843-9192
- Fax
- (785) 843-2219
- NPI assigned
- Sep 30, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | T-LMLP 1426 | KS | |
| Clinical Psychologist | 103TC0700X | 2400 | KS | Primary |
Addresses
Primary practice location
200 Maine St
Suite a
Lawrence, KS 66044-1368
Mailing address
200 Maine St
Suite a
Lawrence, KS 66044-1368
Phone (785) 843-9192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-LMLP 1426 | KS | MD | Psychologist |
| 2400 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortis, LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1205110871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MAINE ST",
"address_2": "SUITE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441368",
"telephone_number": "785-843-9192",
"fax_number": "785-843-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAINE ST",
"address_2": "SUITE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441368",
"telephone_number": "785-843-9192",
"fax_number": "785-843-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISCHMEIER",
"first_name": "ANDRA",
"credential": "LMLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "T-LMLP 1426",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "2400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.