Individual provider Active NPI

Stephanie E Leopold, LCMFT

  • Marriage & Family Therapist
  • Hutchinson, KS
National Provider Identifier
1750921656
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03048 Issued in KS
Practice address
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone
(620) 663-7595
Fax
(620) 663-5263
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 861 KS
Marriage & Family Therapist 106H00000X 2966 KS
Marriage & Family Therapist 106H00000X 03048 KS Primary

Addresses

Primary practice location

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600

Mailing address

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595

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
I20250317000942 KS Practitioner - Marriage and Family Therapist 9830611144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ict Therapyworks, LLCGroup PAC ID 6709176118, 9 clinicians

Practice addresses (Care Compare)

8100 E 22ND St N
BLDG 2100 Suite 1
Wichita, KS 67226-2350
Phone (316) 260-6889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03048KSMDMarriage & Family Therapist
861KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ict Therapy Works, LLC Marriage & Family Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

545 N Woodlawn St
Wichita, KS 67208
Phone (316) 260-6889

Organizations & group practices 1

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1750921656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-513-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-663-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLD",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "861",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2966",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.