Active NPI
Jonathan Comer, LPT
- Licensed Psychiatric Technician
- Overland Park, KS
National Provider Identifier
1770396269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 38002
- Practice address
- 11201 Outlook St Apt 4275
Overland Park, KS 66211-1989 - Phone
- (951) 230-6651
- NPI assigned
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 38002 | CA | Primary |
Addresses
Primary practice location
11201 Outlook St Apt 4275
Overland Park, KS 66211-1989
Mailing address
11201 Outlook St Apt 4275
Overland Park, KS 66211-1989
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 |
|---|---|---|---|
| 38002 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health LLC | Multi-Specialty | Current | Accepting new patients |
| Brookside Academy Business | Licensed Psychiatric Technician | Current | Accepting new patients |
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.
-
- Licensed Psychiatric Technician
- Murrieta, CA
- NPI 1245043736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1770396269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 OUTLOOK ST APT 4275",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 OUTLOOK ST APT 4275",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111989",
"telephone_number": "951-230-6651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMER",
"first_name": "JONATHAN",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "38002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Comfort Care Solutions
- Comfort Chiropractic and Wellness LLC
- Brennan Commerford, D.C.
- David Charles Commerford, D.C.
- Communication and Connection Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.