Individual provider Active NPI

Jonathan Comer, LPT

  • Licensed Psychiatric Technician
  • Overland Park, KS
National Provider Identifier
1770396269
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
38002 Issued in CA
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

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
38002CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health LLC Multi-Specialty CurrentSince Feb 2, 2025 Accepting new patients
Brookside Academy Business Licensed Psychiatric Technician CurrentSince Feb 2, 2025 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.

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": []
}

Other providers in Overland Park, KS

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.

Verify at the official NPI Registry.