Individual provider Active NPI

Rebecca Rasmussen Miles, PH.D.

  • Psychologist
  • Olathe, KS
National Provider Identifier
1669416509
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1301 Issued in KS
Practice address
15138 W 132ND St
Olathe, KS 66062-1500
Phone
(913) 406-1885
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1301 KS Primary

Addresses

Primary practice location

15138 W 132ND St
Olathe, KS 66062-1500

Mailing address

15138 W 132ND St
Olathe, KS 66062-1500
Phone (913) 406-1885

Other identifiers 1

IdentifierTypeStateIssuer
34799031OtherKSBLUE CROSS BLUE SHIELD

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
I20050927001195 KS Practitioner - Clinical Psychologist 1557396710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11960 Quivira Rd
Suite 400
Overland Park, KS 66213-2508

15138 W 132ND St
Olathe, KS 66062-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1301KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Layton Center, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Feb 8, 2023 Accepting new patients

Locations

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

401 N East St
Paola, KS 66071
Phone (413) 294-5755

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1669416509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15138 W 132ND ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621500",
            "telephone_number": "913-406-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15138 W 132ND ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621500",
            "telephone_number": "913-406-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "REBECCA",
        "middle_name": "RASMUSSEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34799031",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.