Jason Erickson LCP LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JASON ERICKSON LCP LLC

Practice address

250 N Rock Rd Ste 370
Wichita, KS 67206-2243

Phone

(620) 481-1311

Fax

(316) 333-7281

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jason Paul Erickson, LCP

Title

Owner

Phone

(620) 481-1311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1689208860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 N SPLIT RAIL CT",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372846",
            "telephone_number": "620-481-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 370",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062243",
            "telephone_number": "620-481-1311",
            "fax_number": "316-333-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON ERICKSON LCP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-481-1311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.