Active NPI
Mark S. Siegmund, LPC, LCPC
- Professional Counselor
- Olathe, KS
National Provider Identifier
1932263282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 310
- Practice address
- 480 S Rogers Rd
Olathe, KS 66062-1706 - Phone
- (913) 324-3608
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000860 | MO | |
| Professional Counselor | 101YP2500X | 310 | KS | Primary |
Addresses
Primary practice location
480 S Rogers Rd
Olathe, KS 66062-1706
Mailing address
8736 Sunray Dr.
Lenexa, KS 66227
Phone (913) 832-4320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493399133 | Medicaid | MO |
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 |
|---|---|---|---|
| 000860 | MO | MD | Professional Counselor |
| 310 | KS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1932263282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8736 SUNRAY DR.",
"city": "LENEXA",
"state": "KS",
"postal_code": "66227",
"telephone_number": "913-832-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 S ROGERS RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621706",
"telephone_number": "913-324-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGMUND",
"first_name": "MARK",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "LPC, LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "000860",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493399133",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.