Organization Active NPI

Heartland Psychotherapy LLC

  • Psychologist
  • Manhattan, KS
National Provider Identifier
1780268946
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HEARTLAND PSYCHOTHERAPY LLC
Practice address
217 Southwind PL Ste 101
Manhattan, KS 66503-3159
Phone
(785) 770-5225
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Mrs. Shari Kay Lagrange-Aulich, LCP, LMLPNPI 1134669955
Title
Licensed Clinical Psychotherapist
Phone
(785) 770-5225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

217 Southwind PL Ste 101
Manhattan, KS 66503-3159

Mailing address

PO Box 324
Riley, KS 66531-0324
Phone (785) 770-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220126003167 KS Part B Supplier - Clinic/Group Practice 1052703923 Receives reassigned benefits from 1 practitioner
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1780268946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "RILEY",
            "state": "KS",
            "postal_code": "665310324",
            "telephone_number": "785-770-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTHWIND PL STE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033159",
            "telephone_number": "785-770-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "LAGRANGE-AULICH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "785-770-5225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCP, LMLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.