Courtney Frack, MS, LMLP, LMAC
Individual provider Active NPI Clinical Psychologist · Phillipsburg, KS
NPI 1235829151 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1235829151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- LMLP2692 (KS)
- Practice address
- 205 F St
Phillipsburg, KS 67661-1943 - Phone
- (785) 543-9011
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMAC01093 | KS | MD | Addiction (Substance Use Disorder) Psychologist |
| LMLP2692 | KS | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | LMAC01093 | KS | |
| Clinical Psychologist | 103TC0700X | LMLP2692 | KS | Yes |
Addresses
Primary practice location
205 F St
Phillipsburg, KS 67661-1943
Mailing address
20512 US Highway 36
Norton, KS 67654-5481
Phone (785) 543-9011
Other providers in Phillipsburg, KS
- Alex Nicole Cotten
- Doctors Clinic LLC
- Kathi Ebner
- Traci Eilers
- Carmen Engelke
- Benson Dewayne Galloway
- Great Plains of Phillips County, Inc.
- Jennifer L Hamons
- Rex D Harman
- Harmony Health Care, LLC
All providers in Phillipsburg, KS · Clinical Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.