JASON ERICKSON LCP LLC


Address: 250 N Rock Rd Ste 370, Wichita, KS 67206-2243
Phone: 6204811311

JASON ERICKSON LCP LLC (NPI# 1689208860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689208860
Entity Type Organization
Organization Name JASON ERICKSON LCP LLC
Practice Address 250 N Rock Rd Ste 370
Wichita
KS 67206-2243
Mailing Address 1333 N Split Rail Ct
Derby
KS 67037-2846
Practice Telephone 6204811311
Practice Fax Number 3163337281
Mailing Telephone 6204811311
Enumeration Date 2020-02-27
Last Update Date 2020-02-27
Authorized Official Name MR. JASON PAUL ERICKSON (OWNER)
Authorized Official Telephone 6204811311
Authorized Official Credential LCP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 250 N ROCK RD STE 370
City WICHITA
State KS
Zip Code 67206-2243

Providers in the same zip code

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1750804597 Katelyn Aguiar Psychologist 250 N Rock Rd Ste 210, Wichita, KS 67206 2017-07-24
1457888778 Mona Kay Cherryholmes Social Worker 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 2017-05-17
1164899415 Elizabeth Herl Marriage & Family Therapist 250 N Rock Rd Ste 150, Wichita, KS 67206 2015-08-21
1851715510 Ndjj Corp Custodial Care Facility 6403 E Marjore, Wichita, KS 67206 2014-02-14
1801238217 Courtney Ann Lang Physical Therapist 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 2013-07-26
1194063032 Peak Performance Health Pa Chiropractor 10111 E 21st St, #106, Wichita, KS 67206 2013-01-28
1750629002 Rachel Marie Conrad Speech-Language Pathologist 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 2013-01-22
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750804597 Katelyn Aguiar Psychologist 250 N Rock Rd Ste 210, Wichita, KS 67206 2017-07-24
1376999409 Marcia Kennedy Psychologist 654 N Woodchuck St Ste F, Wichita, KS 67212-3571 2016-05-07
1073887345 Andover Psychological Services Pa Psychologist 350 S Fountain St, Wichita, KS 67218-1326 2012-03-02
1912297334 Brian J Stone Psychologist 1138 N Wood Ave, Wichita, KS 67212-4055 2011-04-19
1942506035 Elizabeth Belt Psychologist 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 2011-02-07
1831397074 Karen Liebenau Psychologist 1219 N Rutland St, Wichita, KS 67206-3837 2007-07-10
1275684433 Shawn Patrick Padgett Psychologist 801 E Douglas Ave # 2, Wichita, KS 67202-3548 2007-01-15
1386729143 Heartspring Inc Psychologist 8700 East 29th Street North, Wichita, KS 67226-2169 2006-10-27
1457448201 Wayne C Piersel Psychologist 8700 E 29th Street North, Wichita, KS 67226-2169 2006-10-05
1699875831 Bernie J Mermis Psychologist 6514 E Beachy St, Wichita, KS 67206-1336 2006-09-25
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City WICHITA
Zip Code 67206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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