PSYCHE AND SOUL, LLC
NPI 1639741648
Psychologist in Wichita, KS

Active since July 11, 2021
650 N CARRIAGE PKWY STE 125, WICHITA, KS 67208(316) 927-3010 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2021, Jul 11, 2021 (2 updates tracked since 2021).

About Psyche And Soul, Llc NPPES

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

PSYCHE AND SOUL, LLC (NPI 1639741648) is a healthcare organization registered as a psychologist in Wichita, Kansas and active in the NPI registry since July 2021. The organization lists Jeremy Crosby, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1639741648
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePSYCHE AND SOUL, LLC
Location Address650 N CARRIAGE PKWY STE 125Wichita, KS 67208-4513
Mailing Address650 N Carriage Pkwy Ste 125Wichita, KS 67208-4513
Organization SubpartNo
Authorized OfficialJeremy CrosbyPsychologist · (316) 253-5107
Enumeration DateJuly 11, 2021
Last NPPES UpdateOctober 27, 20212 updates tracked since enumeration
NPPES CertifiedOctober 27, 2021
✔ NPI 1639741648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
650 N CARRIAGE PKWY STE 125, Wichita, KS 67208

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psyche And Soul, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKansasEnrollment IDO20211027000321Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Psyche And Soul, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1003859042
650 N CARRIAGE PKWY STE 125
Wichita, KS 67208
(316) 358-9104
✔ PECOS✔ Accepts MedicareSame 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 Psyche And Soul, LLC's NPI number?

The NPI number for Psyche And Soul, LLC is 1639741648. It was assigned to this organization in the NPPES registry on July 11, 2021.

Where is Psyche And Soul, LLC located?

Psyche And Soul, LLC is located at 650 N Carriage Pkwy Ste 125, Wichita, KS 67208. The listed phone number is (316) 927-3010.

What is Psyche And Soul, LLC's specialty?

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

Is Psyche And Soul, LLC enrolled in Medicare?

Yes. Psyche And Soul, LLC is registered in the Medicare PECOS enrollment system.

When is Psyche And Soul, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Psyche And Soul, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Psyche And Soul, 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 Psyche And Soul, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Psyche And Soul, 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 Psyche And Soul, LLC was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.