Individual provider Active NPI

Mark Tolmachoff, LMLP

  • Clinical Psychologist
  • Atchison, KS
National Provider Identifier
1316481096
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2732 Issued in KS
Practice address
201 Main St
Atchison, KS 66002-2828
Phone
(913) 367-1593
NPI assigned
Dec 14, 2016
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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 2732 KS Primary

Addresses

Primary practice location

201 Main St
Atchison, KS 66002-2828

Mailing address

500 Limit St
Leavenworth, KS 66048-4435
Phone (913) 682-5118

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
I20240226003395 KS Practitioner - Mental Health Counselor 3971948241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Guidance Center, IncGroup PAC ID 6507859063, 13 clinicians

Practice addresses (Care Compare)

500 Limit St
Leavenworth, KS 66048-4435
Phone (913) 682-5118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2732KSMDClinical Psychologist
1496KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center, Inc CurrentSince Jan 13, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
The Guidance Center, Inc Past Accepting new patients

Locations

500 Limit St
Leavenworth, KS 66048
Phone (913) 682-5118

Organizations & group practices 3

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": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1316481096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LIMIT ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484435",
            "telephone_number": "913-682-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022828",
            "telephone_number": "913-367-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLMACHOFF",
        "first_name": "MARK",
        "credential": "LMLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.