DR. LISA DIANE WILSON PSY.D.
NPI 1881878916
Psychologist - Clinical in Olathe, KS

Q: What is Lisa Wilson's NPI number?

The NPI number for Lisa Wilson is 1881878916. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Q: What is Lisa Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Wilson was last updated on January 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 26, 2007PECOS EnrolledAccepts Medicare Assignment

21350 W 153RD ST, OLATHE, KS 66061(913) 322-2400(913) 621-5730 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Lisa Diane Wilson Psy.d. NPPES

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

DR. LISA DIANE WILSON PSY.D. (NPI 1881878916) is an individual clinical provider in Olathe, Kansas, licensed in Kansas (LP03197) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1881878916

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA DIANE WILSONCredential: PSY.D.

Location Address21350 W 153RD STOlathe, KS 66061-5413

Mailing Address11642 Garnett StOverland Park, KS 66210-3435 · (913) 370-6541

Phone(913) 322-2400

Fax(913) 621-5730

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 26, 2007

Last NPPES UpdateJanuary 18, 2023

NPPES CertifiedJanuary 18, 2023

✔ NPI 1881878916 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 · LP03197

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 ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License T-LP1703 (KS)

21350 W 153RD ST, Olathe, KS 66061

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Accepted Insurance

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

Dr. Lisa Diane Wilson Psy.d. 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 ID5193196525

PECOS Enrollment IDI20230124000168

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66061 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 20

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

TODD E SMITH LMLP

Psychologist (Clinical)