Active NPI
Huyen Susan Le
- Marriage & Family Therapist
- Derby, KS
National Provider Identifier
1467330878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 03758-T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03758-T | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Anchor Counseling LLC | Current | Accepting new patients | |
| Tag Treatment Center LLC | Marriage & Family Therapist | Past | 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.
-
- Clinical Social Worker
- Derby, KS
- NPI 1013604891
-
- Marriage & Family Therapist
- Wichita, KS
- NPI 1275011462
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.