Active NPI
Jenny M Wilkerson, T LMLP
- Clinical Psychologist
- Hays, KS
National Provider Identifier
1700085396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- TLMLP 1098
- Practice address
- 208 East 7TH Street
Hays, KS 67601 - Phone
- (785) 628-2871
- Fax
- (785) 628-1438
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | TLMLP 1098 | KS | Primary |
Addresses
Primary practice location
208 East 7TH Street
Hays, KS 67601
Mailing address
1311 East 15TH Street
Hays, KS 67601
Phone (785) 628-1883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TLMLP 1098 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1700085396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 EAST 15TH STREET",
"city": "HAYS",
"state": "KS",
"postal_code": "67601",
"telephone_number": "785-628-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 EAST 7TH STREET",
"city": "HAYS",
"state": "KS",
"postal_code": "67601",
"telephone_number": "785-628-2871",
"fax_number": "785-628-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "JENNY",
"middle_name": "M",
"credential": "T LMLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "TLMLP 1098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.