Jacquelin Nickole Psota, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

926 Issued in KS

Practice address

614 Merchant St
Emporia, KS 66801-2859

Phone

(620) 794-8616

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1659420339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MEADOWLARK LN",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016127",
            "telephone_number": "620-794-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MERCHANT ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012859",
            "telephone_number": "620-794-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Commercial St Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012972",
            "country_code": "US",
            "telephone_number": "620-794-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PSOTA",
        "first_name": "JACQUELIN",
        "middle_name": "NICKOLE",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "926",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Price, LMSW
• Maria Constanza Prono Flecha
• Marcos A Prono, LMLP
• Ronald G. Protzman, D.D.S.
• Emily Prouse, R.D., L.D.
• PT Associates of Emporia, LLC
• Purdy Inc
• Quest Services, Inc.
• Quest Services, Inc.
• Quest Services, Inc.

• Clinical Psychologist in Emporia, KS
• Providers in Emporia, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.