Individual provider Active NPI

Janeen Faith Tacey, LMLP-T

  • Clinical Psychologist
  • Topeka, KS
National Provider Identifier
1215379201
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2462 Issued in KS
Practice address
235 S Kansas Ave
Topeka, KS 66603-3616
Phone
(785) 409-6841
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2462 KS Primary

Addresses

Primary practice location

235 S Kansas Ave
Topeka, KS 66603-3616

Mailing address

119 NW Redbud Cir
7
Topeka, KS 66617-1882
Phone (402) 649-4288

Other names 1

  • Janeen Faith Stuthman Former name

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

LicenseStateTypeSpecialty
2462KSMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1215379201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NW REDBUD CIR",
            "address_2": "7",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171882",
            "telephone_number": "402-649-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S KANSAS AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666033616",
            "telephone_number": "785-409-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACEY",
        "first_name": "JANEEN",
        "middle_name": "FAITH",
        "credential": "LMLP-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEEN",
            "last_name": "STUTHMAN",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.