Individual provider Active NPI

Leigh Dixie Jordan, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1689804742
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4565 Issued in KS
Practice address
200 Maine St Ste a
Lawrence, KS 66044-1396
Phone
(785) 843-9192
Fax
(785) 843-6711
NPI assigned
Jul 22, 2009
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7450 KS
Clinical Social Worker 1041C0700X 4565 KS Primary

Addresses

Primary practice location

200 Maine St Ste a
Lawrence, KS 66044-1396

Mailing address

200 Maine St Ste a
Lawrence, KS 66044-1396
Phone (785) 843-9192

Other identifiers 1

IdentifierTypeStateIssuer
1841281805MedicaidKS

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
I20160908000809 KS Practitioner - Clinical Social Worker 0345536959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric and Counseling Associates LLCGroup PAC ID 6507881422, 41 clinicians

Practice addresses (Care Compare)

6265 Rock Chalk Dr
Lawrence, KS 66049-5232
Phone (913) 327-7505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7450KSMDClinical Social Worker
4565KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric and Counseling Associates LLC CurrentSince Feb 13, 2025 Accepting new patients
Bert Nash Community Mental Health Center Inc CurrentSince Jul 6, 2016 Accepting new patients

Locations

200 Maine St
Lawrence, KS 66044
Phone (785) 832-8192

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

8400 W 110th St
Ste 250
Overland Park, KS 66210
Phone (913) 327-7505

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1689804742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LEIGH",
        "middle_name": "DIXIE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "7450",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841281805",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.