Olivia Leeker, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2011032470 Issued in MO

Practice address

140 Prospect Ave Ste E
Kirkwood, MO 63122-6024

Phone

(314) 266-8872

NPI assigned

Dec 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• The Path to Conscious Healing, LLC

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1942927561
  NPD Authorized official

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1356610430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 KIT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235639",
            "telephone_number": "314-471-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE STE E",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226024",
            "telephone_number": "314-266-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEKER",
        "first_name": "OLIVIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2022-11-05",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2011032470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morganne Lacey
• Madeline Grace Lamp
• Gail Lathen-Farwell
• Christine F Lathuras, DDS
• James Q Le, PHARM.D
• Dinara Leffler
• Xann Leseberg, B.S.
• Cheryl June Lewis, BS
• Brianna Liberman, MS, PLPC, NCC
• Elizabeth Grace Link, MS, RD, CPT

• Psychologist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.