Active NPI
Leia Katherine Stein
- Professional Counselor
- O Fallon, IL
National Provider Identifier
1043746407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180012041
- Practice address
- 785 Wall St Ste 200
O Fallon, IL 62269-1959 - Phone
- (618) 670-9069
- NPI assigned
- May 4, 2017
- Sex
- Female
- 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 | 180012041 | IL | Primary |
Addresses
Primary practice location
785 Wall St Ste 200
O Fallon, IL 62269-1959
Mailing address
544 Stonefield Dr
Smithton, IL 62285-1560
Phone (618) 670-9069
Other practice location 1
12 N 64th St
Belleville, IL 62223-3809
Phone (618) 397-0900 ext. 2873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 30, 2025 through Sep 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012041 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leia Stein Counseling LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- O Fallon, IL
- NPI 1063078020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1043746407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 STONEFIELD DR",
"city": "SMITHTON",
"state": "IL",
"postal_code": "622851560",
"telephone_number": "618-670-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 WALL ST STE 200",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691959",
"telephone_number": "618-670-9069"
}
],
"practiceLocations": [
{
"address_1": "12 N 64th St",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622233809",
"country_code": "US",
"telephone_number": "618-397-0900 x2873",
"fax_number": "618-397-4368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEIN",
"first_name": "LEIA",
"middle_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180012041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.