Individual provider Active NPI

Alice D Leckenby, MA, LPC, RPT-S

  • Professional Counselor
  • Kirksville, MO
National Provider Identifier
1629523469
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020033144 Issued in MO
Practice address
2015 S Halliburton St
Kirksville, MO 63501-4646
Phone
(660) 626-0698
NPI assigned
Aug 22, 2016
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2020033144 MO Primary
Professional Counselor 101YP2500X LPC.0013265 CO

Addresses

Primary practice location

2015 S Halliburton St
Kirksville, MO 63501-4646

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (660) 665-1962

Other names 1

  • Alice Gieck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231204001260 MO Practitioner - Mental Health Counselor 3678921566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0013265COMDProfessional Counselor
2020033144MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

2015 S Halliburton St
Kirksville, MO 63501
Phone (660) 626-0698

900 E Laharpe St
Kirksville, MO 63501

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, 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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1629523469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "660-665-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S HALLIBURTON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014646",
            "telephone_number": "660-626-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECKENBY",
        "first_name": "ALICE",
        "middle_name": "D",
        "credential": "MA, LPC, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020033144",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "GIECK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.