Individual provider Active NPI

Abigail Cecilia Leis, LPC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1609683986
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04182 Issued in KS
Practice address
8748 W 151St St
Overland Park, KS 66221-8705
Phone
(316) 272-0800
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 04182 KS Primary

Addresses

Primary practice location

8748 W 151St St
Overland Park, KS 66221-8705

Mailing address

PO Box 2470
Hutchinson, KS 67504-2470
Phone (316) 944-3940

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
I20250118000085 KS Practitioner - Mental Health Counselor 6800325952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Mental Health Medicine LLCGroup PAC ID 0840532107, 26 clinicians

Practice addresses (Care Compare)

3460 N Ridge Rd
Suite 120
Wichita, KS 67205-1223
Phone (316) 272-0800

8748 W 151St St
Overland Park, KS 66221-8705
Phone (913) 386-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04182KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Mental Health Medicine LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

6432 E 34th St N
Ste 100
Wichita, KS 67226
Phone (316) 260-8700

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1609683986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2470",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675042470",
            "telephone_number": "316-944-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662218705",
            "telephone_number": "316-272-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIS",
        "first_name": "ABIGAIL",
        "middle_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.