Leisia Kristina Landers, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255423 Issued in KY

Practice address

5966 Scottsville Rd
Bowling Green, KY 42104-0387

Phone

(270) 904-5104

Fax

(270) 201-5980

NPI assigned

Jun 26, 2014

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Counseling AssociatesGroup PAC ID 9436443736, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alliance Counseling Associates

  • Mental Health Counselor
  • Glasgow, KY
  • NPI 1285938209

  Clinical

  Medicare reassignment Care Compare group NPD
• KW Consulting, LLC

  dba Fuller Life Counseling

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1679127781
  Medicare reassignment NPD
• Alliance Center for Community Empowerment and Support Services, LLC

  dba Access

  • Community/Behavioral Health Agency
  • Glasgow, KY
  • NPI 1245635796
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1720493810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E WHITE OAK ST STE B",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541466",
            "telephone_number": "270-904-5104",
            "fax_number": "270-201-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421040387",
            "telephone_number": "270-904-5104",
            "fax_number": "270-201-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Muhammad Ali Blvd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021423",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "LEISIA",
        "middle_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "6740",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Lainhart, BA, RBT
• Lake Substance Abuse Solutions LLC
• Samuel Vincent Lambert
• Bethany Lancaster, RBT
• Laura Lancaster, MFTA
• Emily Langlois, APRN
• Elizabeth N. Lanham, PA-C
• Kathy Lynne Lanier, RD, RN
• Corey Lannert, ATC
• Jennifer Lynn Larkin, OTR/L

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.