JUDY ADDISON LMLP LCP NPI 1205876158

NPI Information

  • NPI: 1205876158
  • Provider Name: JUDY ADDISON, LMLP, LCP
  • Classification: Psychologist - 103TA0700X
  • Specialization: Adult Development & Aging
  • Entity Type: Individual
  • Address: 1919 N AMIDON AVE
    SUITE 130
    WICHITA, KS
    ZIP 67203
  • Phone: (316) 660-7675

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NPI Details

Judy Addison, LMLP, LCP is an adult development and aging psychologist in Wichita, KS. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. Judy Addison, LMLP, LCP NPI is 1205876158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1919 N AMIDON AVE
SUITE 130
WICHITA, KS
ZIP 67203-117
Phone: (316) 660-7675
Fax: (316) 832-1571

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0700XPsychologistAdult Development & Aging0376KANSASYes
2103TC0700XPsychologistClinical037KANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12153213OTHERKANSASCIGNA
2389892OTHERKANSASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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