Active NPI
Jolena Kay Mauldin, LCP
- Psychologist
- Olathe, KS
National Provider Identifier
1215154307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 195
- Practice address
- 801 N Mur Len Rd
Suite 101
Olathe, KS 66062-1794 - Phone
- (713) 710-9382
- Fax
- (610) 643-8266
- NPI assigned
- Apr 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 195 | KS | Primary |
Addresses
Primary practice location
801 N Mur Len Rd
Suite 101
Olathe, KS 66062-1794
Mailing address
801 N Mur Len Rd
Ste 101
Olathe, KS 66062-1794
Phone (913) 710-9382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098010B | Medicaid | KS |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1215154307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N MUR LEN RD",
"address_2": "STE 101",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621794",
"telephone_number": "913-710-9382",
"fax_number": "610-643-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N MUR LEN RD",
"address_2": "SUITE 101",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621794",
"telephone_number": "713-710-9382",
"fax_number": "610-643-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAULDIN",
"first_name": "JOLENA",
"middle_name": "KAY",
"credential": "LCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098010B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.