Individual provider Active NPI

Charles Patrick Garrick, LCP. LCAC, TTS

  • Clinical Psychologist
  • Ottawa, KS
National Provider Identifier
1235346743
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1444 Issued in KS
Practice address
901 S Main St
Ottawa, KS 66067-3315
Phone
(913) 521-6300
Fax
(913) 521-6301
NPI assigned
May 16, 2007
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X LCAC00846 KS
Cognitive & Behavioral Psychologist 103TB0200X 1444 KS
Clinical Psychologist 103TC0700X 1444 KS Primary
Group Psychotherapy Psychologist 103TP2701X 1444 NU

Addresses

Primary practice location

901 S Main St
Ottawa, KS 66067-3315

Mailing address

901 S Main St
Ottawa, KS 66067-3315
Phone (913) 521-6300

Other practice location 1

424 Main St
Wellsville, KS 66092-8878
Phone (785) 521-6300

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
I20240131002861 KS Practitioner - Mental Health Counselor 9335592880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Ransom Memorial IncGroup PAC ID 4486996907, 40 clinicians

Practice addresses (Care Compare)

1301 S Main St
Ottawa, KS 66067-3537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAC00846KSMDAddiction (Substance Use Disorder) Psychologist
1444KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Jan 2, 2024 Accepting new patients

Locations

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

901 S Main St
Ottawa, KS 66067
Phone (785) 229-8888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1235346743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673315",
            "telephone_number": "913-521-6300",
            "fax_number": "913-521-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673315",
            "telephone_number": "913-521-6300",
            "fax_number": "913-521-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Main St",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "KS",
            "postal_code": "660928878",
            "country_code": "US",
            "telephone_number": "785-521-6300",
            "fax_number": "785-521-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRICK",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "credential": "LCP. LCAC, TTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "LCAC00846",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "1444",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1444",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": "1444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.