Timothy Leary & Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW 1532 Issued in KS

Legal business name

TIMOTHY LEARY & ASSOCIATES, LLC

Practice address

10551 Barkley St Ste 512
Overland Park, KS 66212-1813

Phone

(913) 205-7049

Fax

(913) 317-8193

NPI assigned

Oct 29, 2014

Last updated

Oct 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy J LearyNPI 1962520916

Title

Clinician/Owner

Phone

(913) 205-7049

Specialties & licenses 1

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, and the practitioner matching its NPPES authorized official.

• Timothy J Leary, MSW

  • Clinical Social Worker
  • Overland Park, KS
  • NPI 1962520916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1548665854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9233",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662011833",
            "telephone_number": "913-205-7049",
            "fax_number": "913-317-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10551 BARKLEY ST STE 512",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121813",
            "telephone_number": "913-205-7049",
            "fax_number": "913-317-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY LEARY & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "913-205-7049"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Timm, ARNP
• Kyle Timmerman, MD
• Melanie Timmerman
• Ellyn Timmons
• Timothy K. Link, MD, Chartered
• Michelle Tims, OTR/L
• Jody Tingelhoff-Hitchcock
• Sarah Elizabeth Tipton, GC, APRN
• Tashia Nichole Tjaden, NNP, MSN
• TLC Chiropractic LLC

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.