Life Counseling and Play Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

3984 Issued in KS

Legal business name

LIFE COUNSELING AND PLAY THERAPY, LLC

Practice address

103 E 9TH Ave Ste 202
Winfield, KS 67156-2815

Phone

(620) 402-6988

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Karla McDermott, LSCSWNPI 1942492954

Title

Owner

Phone

(620) 446-0056

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karla McDermott, LMSW

  • Social Worker
  • Winfield, KS
  • NPI 1942492954
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1326428004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 9TH AVE STE 202",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 9TH AVE STE 202",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562815",
            "telephone_number": "620-402-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COUNSELING AND PLAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-446-0056",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "3984",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "KS",
            "license": "3984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Labone LLC
• Laboratory Corporation of America Holdings
• Nicole Larsen
• Melissa L Laughrey, APRN
• Jean Marie Laymon, B.A.
• Lincare Inc.
• Cory A Lindenman, OD
• Thomas Locker, PHARMD
• Thomas Lyman, DPM
• Kathleen Maddox, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Winfield, KS
• Providers in Winfield, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.