Individual provider Active NPI

Leslie Rathburn

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1437785664
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3122 Issued in KS
Practice address
7501 College Blvd Ste 2500
Overland Park, KS 66210-1944
Phone
(913) 451-8550
NPI assigned
Mar 19, 2020
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3122 KS Primary

Addresses

Primary practice location

7501 College Blvd Ste 2500
Overland Park, KS 66210-1944

Mailing address

620 E Pawnee LN
Gardner, KS 66030-8120
Phone (913) 461-8870

Other practice location 1

6440 Nieman Rd
Shawnee, KS 66203-3326
Phone (913) 826-4200

Other names 1

  • Leslie Ruggles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240313002340 KS Practitioner - Mental Health Counselor 7113363037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Responsive Management Clinic IncGroup PAC ID 9638082605, 20 clinicians

Practice addresses (Care Compare)

7501 College Blvd
Suite 250
Overland Park, KS 66210-2505
Phone (913) 451-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3122KSMDSpeech-Language Pathologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1437785664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E PAWNEE LN",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660308120",
            "telephone_number": "913-461-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 COLLEGE BLVD STE 2500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101944",
            "telephone_number": "913-451-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 Nieman Rd",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662033326",
            "country_code": "US",
            "telephone_number": "913-826-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHBURN",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "RUGGLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.