DAKOTA MCNAMARA THORNBLADE LMLP
NPI 1164190609
Psychologist in Leavenworth, KS

Active since August 31, 2021Opted out of Medicare · through Oct 19, 2027
500 LIMIT ST, LEAVENWORTH, KS 66048(913) 682-4664 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dakota Mcnamara Thornblade Lmlp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAKOTA MCNAMARA THORNBLADE LMLP (NPI 1164190609) is an individual psychologist in Leavenworth, Kansas, licensed in Kansas (03081) and active in the NPI registry since August 2021. She has opted out of Medicare through October 19, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164190609
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDAKOTA MCNAMARA THORNBLADECredential: LMLP
Location Address500 LIMIT STLeavenworth, KS 66048-4435
Mailing Address500 Limit StLeavenworth, KS 66048-4435
Sole ProprietorNo
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
NPI 1164190609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KS · 03081
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.

500 LIMIT ST, Leavenworth, KS 66048

Secondary Practice Locations 2

Location 11102 Walnut StOskaloosa, KS 66066-4203 · Phone (785) 214-4084
Location 2201 Main StAtchison, KS 66002-2828 · Phone (913) 367-1627

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dakota Mcnamara Thornblade Lmlp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 19, 2023 through October 19, 2027.

Opt-Out Effective DateOctober 19, 2023
Opt-Out In Effect ThroughOctober 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
500 LIMIT ST
LEAVENWORTH, KS 66048
Social Worker (Clinical)
500 LIMIT ST
LEAVENWORTH, KS 66048
Social Worker
500 LIMIT ST
LEAVENWORTH, KS 66048
Counselor (Addiction (Substance Use Disorder))
500 LIMIT ST
LEAVENWORTH, KS 66048
Social Worker
500 LIMIT ST
LEAVENWORTH, KS 66048
Counselor (Professional)
500 LIMIT ST
LEAVENWORTH, KS 66048
Social Worker (Clinical)
500 LIMIT ST
LEAVENWORTH, KS 66048
Social Worker
500 LIMIT ST
LEAVENWORTH, KS 66048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dakota Mcnamara Thornblade's NPI number?

The NPI number for Dakota Mcnamara Thornblade is 1164190609. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Dakota Mcnamara Thornblade located?

Dakota Mcnamara Thornblade practices at 500 Limit St, Leavenworth, KS 66048. The listed phone number is (913) 682-4664.

What is Dakota Mcnamara Thornblade's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dakota Mcnamara Thornblade enrolled in Medicare?

No. Dakota Mcnamara Thornblade has opted out of Medicare through October 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dakota Mcnamara Thornblade was last updated on August 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.