Individual provider Active NPI

Kim Leanne Bowers, LCPC

  • Professional Counselor
  • Lawrence, KS
National Provider Identifier
1053608760
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2385 Issued in KS
Practice address
6265 Rock Chalk Dr Ste 301
Lawrence, KS 66049-5232
Phone
(913) 327-7505
NPI assigned
Jul 1, 2011
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2385 KS
Professional Counselor 101YP2500X 2385 KS Primary

Addresses

Primary practice location

6265 Rock Chalk Dr Ste 301
Lawrence, KS 66049-5232

Mailing address

6265 Rock Chalk Dr Ste 301
Lawrence, KS 66049-5232
Phone (620) 364-2378

Other practice location 1

2704 Shawnee Rd
Ottawa, KS 66067-8723
Phone (620) 364-1415

Other names 1

  • Ms. Kim Leanne Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20231113001837 KS Practitioner - Mental Health Counselor 4688021637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric and Counseling Associates LLCGroup PAC ID 6507881422, 41 clinicians

Practice addresses (Care Compare)

6265 Rock Chalk Dr
Lawrence, KS 66049-5232
Phone (913) 327-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric and Counseling Associates LLC CurrentSince Nov 1, 2024 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Feb 8, 2023 Accepting new patients
Solid Ground Counseling Center LLC Past Accepting new patients
Solid Ground Counseling Center LLC Mental Health Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

8400 W 110th St
Ste 250
Overland Park, KS 66210
Phone (913) 327-7505

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1053608760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR STE 301",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495232",
            "telephone_number": "620-364-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR STE 301",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495232",
            "telephone_number": "913-327-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2704 Shawnee Rd",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660678723",
            "country_code": "US",
            "telephone_number": "620-364-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "KIM",
        "middle_name": "LEANNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2385",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "PATTERSON",
            "middle_name": "LEANNE",
            "prefix": "MS.",
            "credential": "LCPC, LCAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.