Individual provider Active NPI

Diane C Drouhard, LCP, LCAC

  • Clinical Psychologist
  • Lenexa, KS
National Provider Identifier
1447536511
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
928 Issued in KS
Practice address
12351 W 96TH Ter
Lenexa, KS 66215-4409
Phone
(913) 894-0900
Fax
(913) 894-0908
NPI assigned
Nov 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 928 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 037 KS

Addresses

Primary practice location

12351 W 96TH Ter
Lenexa, KS 66215-4409

Mailing address

12351 W 96TH Ter
Lenexa, KS 66215-4409
Phone (913) 894-0900

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

LicenseStateTypeSpecialty
037KSMDClinical Psychologist
928KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1447536511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154409",
            "telephone_number": "913-894-0900",
            "fax_number": "913-894-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 W 96TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154409",
            "telephone_number": "913-894-0900",
            "fax_number": "913-894-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUHARD",
        "first_name": "DIANE",
        "middle_name": "C",
        "credential": "LCP, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "928",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.