Individual provider Active NPI

Melissa A Tracy, LCPC

  • Mental Health Counselor
  • Leawood, KS
National Provider Identifier
1366706145
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC 2511 Issued in KS
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

Updated by the provider on Jun 2, 2026

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 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

IdentifierTypeStateIssuer
201080470BMedicaidKS
0268768MedicaidOH

Other names 1

  • Melissa Bustamante Former name

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

LicenseStateTypeSpecialty
LCPC 2511KSMDMental Health Counselor
LPC 2539KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Hope KC CurrentSince Dec 17, 2023 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Feb 8, 2023 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Oct 29, 2002 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.

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.

Verify at the official NPI Registry.