Individual provider Active NPI

Huyen Susan Le

  • Marriage & Family Therapist
  • Derby, KS
National Provider Identifier
1467330878
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03758-T Issued in KS
Practice address
402 N River St Ste 200
Derby, KS 67037-1539
Phone
(316) 409-0565
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03758-T KS Primary

Addresses

Primary practice location

402 N River St Ste 200
Derby, KS 67037-1539

Mailing address

1143 E Southcrest Cir
Derby, KS 67037-3442
Phone (978) 631-5042

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
03758-TKSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Anchor Counseling LLC CurrentSince Dec 21, 2025 Accepting new patients
Tag Treatment Center LLC Marriage & Family Therapist PastSince Jun 17, 2024 Accepting new patients

Locations

402 N River St
Ste 200
Derby, KS 67037

Organizations & group practices 2

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1467330878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 E SOUTHCREST CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373442",
            "telephone_number": "978-631-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N RIVER ST STE 200",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371539",
            "telephone_number": "316-409-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HUYEN SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03758-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.