Individual provider Active NPI

Casey Gregory Lankow, PSYD

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1912495292
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6239 Issued in MN
Practice address
2395 University Ave W Ste 200
Saint Paul, MN 55114-1511
Phone
(218) 371-9438
NPI assigned
Apr 23, 2018
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6239 MN Primary

Addresses

Primary practice location

2395 University Ave W Ste 200
Saint Paul, MN 55114-1511

Mailing address

2395 University Ave W Ste 200
Saint Paul, MN 55114-1511
Phone (218) 371-9438

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
6239MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
CP Consulting & Research, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912495292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 UNIVERSITY AVE W STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141511",
            "telephone_number": "218-371-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 UNIVERSITY AVE W STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141511",
            "telephone_number": "218-371-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKOW",
        "first_name": "CASEY",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "6239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.