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INDIAN CREEK PSYCHOLOGICAL SERVICES
NPI 1265256879
Counselor - Professional in Olathe, KS

Active since November 11, 2024
15022 W 128TH ST, OLATHE, KS 66062(913) 636-5657(913) 395-0562 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indian Creek Psychological Services NPPES

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

INDIAN CREEK PSYCHOLOGICAL SERVICES (NPI 1265256879) is a healthcare organization registered as a professional in Olathe, Kansas and active in the NPI registry since November 2024. The organization lists Kenneth Lee Morris, President, as its authorized official.

NPPES Registry Identity

NPI1265256879
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameINDIAN CREEK PSYCHOLOGICAL SERVICES
Location Address15022 W 128TH STOlathe, KS 66062-5809
Mailing Address15022 W 128th StOlathe, KS 66062-5809 · (913) 636-5657 · Fax (913) 395-0562
Phone(913) 636-5657
Fax(913) 395-0562
Organization SubpartNo
Authorized OfficialKenneth Lee MorrisPresident · (913) 636-5657
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1265256879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
15022 W 128TH ST, Olathe, KS 66062
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indian Creek Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Indian Creek Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Morris, ED.D., LCPC, LCAC
Mental Health Counselor
NPI 1528266095
15022 W 128TH ST
Olathe, KS 66062
(913) 636-5657
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Indian Creek Psychological Services's NPI number?

The NPI number for Indian Creek Psychological Services is 1265256879. It was assigned to this organization in the NPPES registry on November 11, 2024.

Where is Indian Creek Psychological Services located?

Indian Creek Psychological Services is located at 15022 W 128th St, Olathe, KS 66062. The listed phone number is (913) 636-5657.

What is Indian Creek Psychological Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Indian Creek Psychological Services enrolled in Medicare?

Yes. Indian Creek Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indian Creek Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Indian Creek Psychological Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Indian Creek Psychological Services was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.