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KRISTIN TEASDALE PHD LLC
NPI 1366932782
Community/Behavioral Health in Lawrence, KS

Active since May 10, 2018
1201 WAKARUSA DR, E2, SUITE 102, LAWRENCE, KS 66049(913) 226-5278 Get Directions Write a Review

NPPES record last updated: January 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2019, May 10, 2018 (2 updates tracked since 2018).

About Kristin Teasdale Phd Llc NPPES

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

KRISTIN TEASDALE PHD LLC (NPI 1366932782) is a healthcare organization registered as a community/behavioral health in Lawrence, Kansas and active in the NPI registry since May 2018. The organization lists Kristin Teasdale, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1366932782
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKRISTIN TEASDALE PHD LLC
Location Address1201 WAKARUSA DR, E2, SUITE 102Lawrence, KS 66049
Mailing Address1201 Wakarusa Dr Ste E2Lawrence, KS 66049-1892 · (785) 434-3479
Phone(913) 226-5278
Organization SubpartNo
Authorized OfficialKristin TeasdaleLicensed Psychologist · (785) 434-3479
Enumeration DateMay 10, 2018
Last NPPES UpdateJanuary 19, 20192 updates tracked since enumeration
✔ NPI 1366932782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in KS · 1939
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1201 WAKARUSA DR, Lawrence, KS 66049
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Teasdale Phd Llc 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 Kristin Teasdale Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristin Teasdale, PH.D.
Clinical Psychologist
NPI 1487988333
3510 CLINTON PL SUITE 320
Lawrence, KS 66047
(785) 843-2429
✔ PECOS✔ Accepts Medicare2.2 mi

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 Kristin Teasdale Phd LLC's NPI number?

The NPI number for Kristin Teasdale Phd LLC is 1366932782. It was assigned to this organization in the NPPES registry on May 10, 2018.

Where is Kristin Teasdale Phd LLC located?

Kristin Teasdale Phd LLC is located at 1201 Wakarusa Dr E2, Suite 102, Lawrence, KS 66049. The listed phone number is (913) 226-5278.

What is Kristin Teasdale Phd LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kristin Teasdale Phd LLC enrolled in Medicare?

Yes. Kristin Teasdale Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kristin Teasdale Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kristin Teasdale Phd LLC. 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.

What insurance does Kristin Teasdale Phd LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kristin Teasdale Phd LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Teasdale Phd LLC was last updated on January 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.