Individual provider Active NPI

Kamisha A Roedl, LMFT

  • Marriage & Family Therapist
  • Lawrence, KS
National Provider Identifier
1457807513
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2902 Issued in KS
Practice address
1312 W 6TH St
Lawrence, KS 66044-2219
Phone
(785) 841-7297
Fax
(785) 576-1587
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X .0002145 CO
Marriage & Family Therapist 106H00000X 2902 KS Primary

Addresses

Primary practice location

1312 W 6TH St
Lawrence, KS 66044-2219

Mailing address

1312 W 6TH St
Lawrence, KS 66044-2219
Phone (785) 841-7297

Other practice location 1

814 Caroline Ave
Junction City, KS 66441-5210
Phone (785) 762-5250

Other practice location 2

7660 Goddard St Ste 234
Colorado Springs, CO 80920-8231
Phone (719) 480-8848

Other practice location 3

1803 W 6th St
Lawrence, KS 66044-1710
Phone (785) 841-7297

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
I20241018000699 KS Practitioner - Marriage and Family Therapist 1355873084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.0002145COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Medical Clinic, Inc CurrentSince Nov 10, 2024 Accepting new patients
Heartland Medical Clinic, Inc. CurrentSince Nov 10, 2024 Accepting new patients

Locations

1312 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297

1803 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297

Organizations & group practices 2

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1457807513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297",
            "fax_number": "785-576-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297",
            "fax_number": "785-576-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Caroline Ave",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664415210",
            "country_code": "US",
            "telephone_number": "785-762-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7660 Goddard St Ste 234",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809208231",
            "country_code": "US",
            "telephone_number": "719-480-8848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1803 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441710",
            "country_code": "US",
            "telephone_number": "785-841-7297",
            "fax_number": "785-576-1587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEDL",
        "first_name": "KAMISHA",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": ".0002145",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.