Active NPI
Eva G Delay, LCP
- Cognitive & Behavioral Psychologist
- Liberal, KS
National Provider Identifier
1295828986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 075
- Practice address
- 333 W 15TH St
Liberal, KS 67901-2455 - Phone
- (620) 624-8171
- Fax
- (620) 624-0114
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 075 | KS | Primary |
Addresses
Primary practice location
333 W 15TH St
Liberal, KS 67901-2455
Mailing address
PO Box 2945
Liberal, KS 67905-2945
Phone (620) 624-8171
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 |
|---|---|---|---|
| 075 | KS | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Guidance Center | Past | Accepting new patients | |
| Southwest Guidance Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Liberal, KS
- NPI 1154421097
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Liberal, KS
- NPI 1801991203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1295828986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2945",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679052945",
"telephone_number": "620-624-8171",
"fax_number": "620-624-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 15TH ST",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012455",
"telephone_number": "620-624-8171",
"fax_number": "620-624-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAY",
"first_name": "EVA",
"middle_name": "G",
"credential": "LCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KS",
"license": "075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberal, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.