Individual provider Active NPI

Jerelyn Gentry Lee

  • Professional Counselor
  • Lenexa, KS
National Provider Identifier
1699253237
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5915 Issued in TN
Practice address
8201 Quivira Rd
Lenexa, KS 66215-2703
Phone
(423) 756-2894
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 03880 KS
Professional Counselor 101YP2500X 24331131125 MI
Professional Counselor 101YP2500X 5915 TN Primary

Addresses

Primary practice location

8201 Quivira Rd
Lenexa, KS 66215-2703

Mailing address

4610 E. Douglas Street
Suite 150
Wichita, KS 67218
Phone (423) 785-7841

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
03880KSMDProfessional Counselor
24331131125MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jerelyn Lee Therapy, LLC. CurrentSince Dec 15, 2024 Accepting new patients
Richmont Graduate University PastSince Jun 1, 2024 Accepting new patients
American Medical Response of Tennessee, Inc. Past Accepting new patients
Helen Ross McNabb Center PastSince Apr 20, 2013 Accepting new patients

Organizations & group practices 4

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1699253237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 E. DOUGLAS STREET",
            "address_2": "SUITE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "423-785-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152703",
            "telephone_number": "423-756-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JERELYN",
        "middle_name": "GENTRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03880",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "24331131125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.