Individual provider Active NPI

Leah Chon-Lopez Wassenaar, LPC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1013600329
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-22170 Issued in AZ
Practice address
6280 E Pima St Ste 100
Tucson, AZ 85712-3074
Phone
(520) 329-1250
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-22170 AZ Primary

Addresses

Primary practice location

6280 E Pima St Ste 100
Tucson, AZ 85712-3074

Mailing address

6280 E Pima St Ste 100
Tucson, AZ 85712-3074
Phone (520) 329-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327001221 IA Practitioner - Mental Health Counselor 4789021627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaptain Counseling and ConsultingGroup PAC ID 4880030683, 3 clinicians

Practice addresses (Care Compare)

5801 Franklin Ave
Des Moines, IA 50322-6131
Phone (515) 277-2489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22170AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaptain Counseling and Consulting, PLC Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

2725 Merle Hay Rd
Des Moines, IA 50310
Phone (515) 279-9766

5801 Franklin Ave
Des Moines, IA 50322
Phone (515) 277-2489

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1013600329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-329-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-329-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON-LOPEZ WASSENAAR",
        "first_name": "LEAH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-22170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.