Active NPI
Michael James Leary, M.ED., L.C.P.C.
- Professional Counselor
- Wichita, KS
National Provider Identifier
1043354343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 121
- Practice address
- 8020 E Central Ave
Suite 160
Wichita, KS 67206-2360 - Phone
- (316) 634-0029
- Fax
- (316) 634-0029
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 121 | KS | Primary |
Addresses
Primary practice location
8020 E Central Ave
Suite 160
Wichita, KS 67206-2360
Mailing address
7233 E Oxford St
Wichita, KS 67226-1716
Phone (316) 685-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043354343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7233 E OXFORD ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261716",
"telephone_number": "316-685-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 E CENTRAL AVE",
"address_2": "SUITE 160",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062360",
"telephone_number": "316-634-0029",
"fax_number": "316-634-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "M.ED., L.C.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.