Active NPI
Carrie Renee Stillian, LMLP
- Counseling Psychologist
- Lawrence, KS
National Provider Identifier
1376088385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LMLP 2740
- Practice address
- 1202 E 23Rd St
Lawrence, KS 66046-4101 - Phone
- (913) 444-2014
- NPI assigned
- Dec 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LMLP 2740 | KS | Primary |
Addresses
Primary practice location
1202 E 23Rd St
Lawrence, KS 66046-4101
Mailing address
1314 Independence CT
Leavenworth, KS 66048-4739
Phone (816) 604-9882
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 |
|---|---|---|---|
| LMLP 2740 | KS | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dccca, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission, KS
- NPI 1801486030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1376088385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 INDEPENDENCE CT",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484739",
"telephone_number": "816-604-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 E 23RD ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660464101",
"telephone_number": "913-444-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLIAN",
"first_name": "CARRIE",
"middle_name": "RENEE",
"credential": "LMLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-29",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "KS",
"license": "LMLP 2740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.