Individual provider Active NPI

Leonie Millen

  • Mental Health Counselor
  • Katy, TX
National Provider Identifier
1386232932
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85088 Issued in TX
Practice address
25807 Westheimer Pkwy Ste 480
Katy, TX 77494-5333
Phone
(805) 377-3602
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59652 TX
Mental Health Counselor 101YM0800X 85088 TX Primary

Addresses

Primary practice location

25807 Westheimer Pkwy Ste 480
Katy, TX 77494-5333

Mailing address

25807 Westheimer Pkwy Ste 480
Katy, TX 77494-5333
Phone (281) 803-8431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240424001489 TX Practitioner - Mental Health Counselor 9931548914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25807 Westheimer Pkwy
Suite 480
Katy, TX 77494-5333
Phone (281) 803-8431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59652TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Aqueduct Ministries Mental Health CurrentSince Apr 13, 2024 Accepting new patients
CVS Pharmacy Inc PastSince Jan 1, 2021 Accepting new patients
CVS Pharmacy Inc PastSince Jan 1, 2021 Accepting new patients

Locations

25807 Westheimer Pkwy
Ste 480
Katy, TX 77494
Phone (281) 803-8431

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1386232932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY STE 480",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945333",
            "telephone_number": "281-803-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25807 WESTHEIMER PKWY STE 480",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945333",
            "telephone_number": "805-377-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEN",
        "first_name": "LEONIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "59652",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.