Active NPI
Kayla M Lejeune, MS, LPC
- Professional Counselor
- Hollister, MO
National Provider Identifier
1215408281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2019006581
- Practice address
- 33 Gage Dr Ste 100
Hollister, MO 65672-5862 - Phone
- (417) 337-9554
- NPI assigned
- Dec 16, 2018
- Last updated
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 2019006581 | MO | Primary |
Addresses
Primary practice location
33 Gage Dr Ste 100
Hollister, MO 65672-5862
Mailing address
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 761-5000
Other practice location 1
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 761-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14379682 | Other | CAQH | |
| 490066893 | Medicaid | MO |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019006581 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1215408281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E BRADFORD PKWY",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044264",
"telephone_number": "417-761-5000",
"fax_number": "417-761-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 GAGE DR STE 100",
"city": "HOLLISTER",
"state": "MO",
"postal_code": "656725862",
"telephone_number": "417-337-9554"
}
],
"practiceLocations": [
{
"address_1": "1300 E Bradford Pkwy",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658044264",
"country_code": "US",
"telephone_number": "417-761-5000",
"fax_number": "417-761-5065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEJEUNE",
"first_name": "KAYLA",
"middle_name": "M",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2019006581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14379682",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490066893",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollister, MO
- Family Pharmacy Partnership
- Forefront Dermatology, S.C. (Swann Dermatology Partners, A Forefront Dermatology Practice)
- Victor Alexander Garcia, PHARMD
- Andrew Jester, LMT
- Alexis Kelbaugh, DDS
- Lincare Pulmonary Rehab Services of Missouri, LLC
- Lionheart Holdings, LLC
- William James Lutz, M.D.
- Arla R Markin, DC
- Toni D McClure, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.