Individual provider Active NPI

Anne B Owen, PHD

  • Counseling Psychologist
  • Lawrence, KS
National Provider Identifier
1689655128
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP 1152 Issued in KS
Practice address
1605 Troon LN
Lawrence, KS 66047-1915
Phone
(785) 550-8854
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP 1152 KS
Counseling Psychologist 103TC1900X LP 1152 KS Primary

Addresses

Primary practice location

1605 Troon LN
Lawrence, KS 66047-1915

Mailing address

1605 Troon LN
Lawrence, KS 66047-1915
Phone (785) 550-8854

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
I20060914000627 KS Practitioner - Clinical Psychologist 7618971102 Practice locations: Lawrence, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1201 Wakarusa Dr
Lawrence, KS 66049-3882
Phone (785) 550-8854

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP 1152KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
JD Jacobson DVM PHD, LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heartland Community Health CenterLawrence, KS, CCN 171897 Federally qualified health center Corporate Officer Mar 1, 2022
Heartland Community Health CenterLawrence, KS, CCN 171902 Federally qualified health center Corporate Director Mar 1, 2022
Heartland Community Health CenterLawrence, KS, CCN 171027 Federally qualified health center Corporate Director Mar 1, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1689655128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 TROON LN",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471915",
            "telephone_number": "785-550-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 TROON LN",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471915",
            "telephone_number": "785-550-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "ANNE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP 1152",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "LP 1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.