Pershall Psychotherapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4594 Issued in KS

Legal business name

PERSHALL PSYCHOTHERAPY, LLC

Practice address

5040 SW 28TH St
Suite C
Topeka, KS 66614-2302

Phone

(785) 383-1949

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Staci Pershall, LSCSW

Title

Psychotherapist

Phone

(785) 383-1949

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1699213934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SW WOODLAWN AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061241",
            "telephone_number": "785-383-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SW 28TH ST",
            "address_2": "SUITE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142302",
            "telephone_number": "785-383-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSHALL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "PERSHALL",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "785-383-1949",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "4594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881033488",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aspen Perry, M.S., CCC-SLP
• Bret Stephen Perry, PT, DPT
• Charlotte L Perry, ARNP
• Ella Marie Perry, PA-C
• Kiara M Perry
• Staci Dawn Pershall, LMSW
• Personalized Behavioral Health LLC
• Personalized Family Dental Care of Topeka, P.a.
• Sireesha Perumalla, D.M.D
• Katherine N Pesina-Bartley

• Community/Behavioral Health Agency in Topeka, KS
• Providers in Topeka, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.