Active NPI
Melissa A Tracy, LCPC
- Mental Health Counselor
- Leawood, KS
National Provider Identifier
1366706145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC 2511
- Practice address
- 5001 College Blvd Ste 107
Leawood, KS 66211-1618 - Phone
- (913) 318-4679
- NPI assigned
- Jun 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC 2511 | KS | Primary |
| Mental Health Counselor | 101YM0800X | LPC 2539 | KS |
Addresses
Primary practice location
5001 College Blvd Ste 107
Leawood, KS 66211-1618
Mailing address
5001 College Blvd Ste 107
Leawood, KS 66211-1618
Phone (913) 318-4679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201080470B | Medicaid | KS | |
| 0268768 | Medicaid | OH |
Other names 1
- Melissa Bustamante
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 2511 | KS | MD | Mental Health Counselor |
| LPC 2539 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivate Hope KC | Current | Accepting new patients | |
| Elizabeth Layton Center, Inc. | Past | Accepting new patients | |
| Elizabeth Layton Center, Inc. | Past | Accepting new patients |
Locations
5001 College Blvd
Ste 107
Leawood, KS 66211
Phone (913) 318-4679
405 S Clairborne Rd
Ste 1
Olathe, KS 66062
Phone (913) 764-5463
11900 College Blvd
Ste 310
Overland Park, KS 66210
Phone (816) 938-5844
Organizations & group practices 3
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.
-
- Professional Counselor
- Leawood, KS
- NPI 1174198345
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ottawa, KS
- NPI 1649296757
-
- Community/Behavioral Health Agency
- Ottawa, KS
- NPI 1972209732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1366706145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 COLLEGE BLVD STE 107",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111618",
"telephone_number": "913-318-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 COLLEGE BLVD STE 107",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111618",
"telephone_number": "913-318-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "MELISSA",
"middle_name": "A",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "LCPC 2511",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "LPC 2539",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201080470B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268768",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "BUSTAMANTE",
"credential": "LCPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.