Active NPI
Rosanne May Liechti
- Professional Counselor
- Lees Summit, MO
National Provider Identifier
1740905702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2021011176
- Practice address
- 1272 NE Windsor Dr
Lees Summit, MO 64086-5594 - Phone
- (816) 246-4465
- Fax
- (816) 524-7008
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2021011176 | MO | Primary |
Addresses
Primary practice location
1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Mailing address
1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (816) 246-4465
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231122000672 | MO | Practitioner - Mental Health Counselor | 7719335231 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brian a Fidler
Practice addresses (Care Compare)
4200 Little Blue Pkwy
Suite 360
Independence, MO 64057-8317
Phone (816) 622-3171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian a Fidler | Professional | Current | Accepting new patients |
| Diakonos Inc | Professional | Current | Accepting new patients |
Locations
4200 Little Blue Pkwy
Ste 360
Independence, MO 64057
Phone (816) 373-9240
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1740905702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 NE WINDSOR DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865594",
"telephone_number": "816-246-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 NE WINDSOR DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865594",
"telephone_number": "816-246-4465",
"fax_number": "816-524-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIECHTI",
"first_name": "ROSANNE",
"middle_name": "MAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2021011176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.