Individual provider Active NPI

Joleesa Mayes-Ruiz, LCPC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1700644291
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC03765 Issued in KS
Practice address
15713 Valleyview Dr
Overland Park, KS 66223-3363
Phone
(913) 258-0732
NPI assigned
Mar 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 LPC04002 KS
Professional Counselor 101YP2500X LCPC03765 KS Primary

Addresses

Primary practice location

15713 Valleyview Dr
Overland Park, KS 66223-3363

Mailing address

7523 Mackey St
Overland Park, KS 66204-2651
Phone (913) 279-0431

Other practice location 1

7523 Mackey St
Overland Park, KS 66204-2651
Phone (913) 279-0431

Other names 1

  • Joleesa Mayberry Former name

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
LPC04002KSMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1700644291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 MACKEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042651",
            "telephone_number": "913-279-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15713 VALLEYVIEW DR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233363",
            "telephone_number": "913-258-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7523 Mackey St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662042651",
            "country_code": "US",
            "telephone_number": "913-279-0431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYES-RUIZ",
        "first_name": "JOLEESA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC04002",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC03765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLEESA",
            "last_name": "MAYBERRY",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.