Organization Active NPI

Prime TMS LLC

  • Adult Mental Health Clinic/Center
  • Lawrence, KS
National Provider Identifier
1891219911
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PRIME TMS LLC
Practice address
1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone
(785) 371-4921
Fax
(888) 965-4514
NPI assigned
Jul 31, 2017
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Garrett Hages
Title
Executive Director
Phone
(785) 371-4921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082

Mailing address

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone (785) 371-4921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180117002799 KS Part B Supplier - Clinic/Group Practice 8820357908 Receives reassigned benefits from 6 practitioners
Practice locations: Lawrence, KS; Topeka, KS

National Provider Directory

National Provider Directory

Locations

1811 Wakarusa Dr
Ste 102
Lawrence, KS 66047
Phone (785) 371-4921

1725 SW Gage Blvd
Ste 201
Topeka, KS 66604
Phone (785) 371-4921

Practitioners & affiliated clinicians

Practitioners 9

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": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1891219911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082",
            "telephone_number": "785-371-4921",
            "fax_number": "888-965-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082",
            "telephone_number": "785-371-4921",
            "fax_number": "888-965-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "HAGES",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-371-4921"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.