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JACQUELIN NICKOLE PSOTA LCP
NPI 1659420339
Psychologist - Clinical in Emporia, KS

Active since January 10, 2007Accepts Medicare Assignment
614 MERCHANT ST, EMPORIA, KS 66801(620) 794-8616 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 24, 2026, Feb 4, 2021 (2 updates tracked since 2021).

About Jacquelin Nickole Psota Lcp NPPES

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

JACQUELIN NICKOLE PSOTA LCP (NPI 1659420339) is an individual clinical provider in Emporia, Kansas, licensed in Kansas (926) and active in the NPI registry since January 2007. She maintains a secondary practice location in Emporia and is a graduate of Other (2000).

NPPES Registry Identity

NPI1659420339
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACQUELIN NICKOLE PSOTACredential: LCP
Location Address614 MERCHANT STEmporia, KS 66801-2859
Mailing Address2001 Meadowlark LnEmporia, KS 66801-6127 · (620) 794-8616
Phone(620) 794-8616
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1659420339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KS · 926
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 1495 (KS)
614 MERCHANT ST, Emporia, KS 66801
Open in Google Maps ↗

Secondary Practice Location 1

Location 1702 Commercial St Ste 1EEmporia, KS 66801-2972 · Phone (620) 794-8616

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelin Nickole Psota Lcp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507044450
PECOS Enrollment IDI20260807001066

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.67 typical visit price
range $53.00 – $161.67
Typical copayment $40.41 (range $13.25 – $40.41)
Most-billed visit code 99205
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

FIRST KANSAS PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
614 MERCHANT ST
EMPORIA, KS 66801
Lyon County (620) 293-7273
MRS. MEGAN L. O'BRIEN LCPC
Counselor (Professional)
614 MERCHANT ST
EMPORIA, KS 66801
Lyon County (316) 217-2666
THERAPEUTIC MUSE
Counselor (Mental Health)
614 MERCHANT ST
EMPORIA, KS 66801
Lyon County (316) 217-2666
SOUND PSYCHIATRY AND HEALTHCARE LLC
Nurse Practitioner (Psychiatric/Mental Health)
614 MERCHANT ST
EMPORIA, KS 66801
Lyon County (620) 212-3832

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 Jacquelin Psota's NPI number?

The NPI number for Jacquelin Psota is 1659420339. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Jacquelin Psota located?

Jacquelin Psota practices at 614 Merchant St, Emporia, KS 66801. The listed phone number is (620) 794-8616.

What is Jacquelin Psota's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacquelin Psota enrolled in Medicare?

Yes. Jacquelin Psota is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacquelin Psota accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Medica, Providence Health Plan and UnitedHealthcare list Jacquelin Psota 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 Jacquelin Psota was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.