Tyler James Sharpe, TLMLP, LPC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2883 Issued in KS

Practice address

5201 Johnson Dr Ste 305
Mission, KS 66205-2920

Phone

(913) 948-1871

NPI assigned

Jun 14, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clinical Associates PA

  • Specialist
  • Lenexa, KS
  • NPI 1477588085
  NPD

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1417440371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SHAWNEE MISSION PKWY STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024088",
            "telephone_number": "913-948-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 JOHNSON DR STE 305",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052920",
            "telephone_number": "913-948-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8110 W 132nd Pl Apt 1308",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662134681",
            "country_code": "US",
            "telephone_number": "913-948-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8629 Bluejacket St",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662141604",
            "country_code": "US",
            "telephone_number": "913-677-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 College Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102505",
            "country_code": "US",
            "telephone_number": "913-451-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8629 Bluejacket St",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662141604",
            "country_code": "US",
            "telephone_number": "913-677-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6811 Shawnee Mission Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66202",
            "country_code": "US",
            "telephone_number": "913-948-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "TLMLP, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2883",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201228510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Select Physical Therapy Holdings, Inc.
• Renee Self
• Serc Rehabilitation Partners LLC
• Serc Rehabilitation Partners, LLC
• Elham Shaiwani
• Carley Sherer
• Thomas P Shortell, DDS
• Kuldeep Kaur Singh, MD
• Sleepmore Medical, LLC
• Alaina Sloan

• Psychologist in Mission, KS
• Providers in Mission, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.