Active NPI
Heeseong Lee Ha, LCPC, LCAC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1760860324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03606
- Practice address
- 7180 W 107TH St Ste 5
Overland Park, KS 66212-2523 - Phone
- (913) 346-6006
- NPI assigned
- May 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00751 | KS | |
| Professional Counselor | 101YP2500X | 03606 | KS | Primary |
Addresses
Primary practice location
7180 W 107TH St Ste 5
Overland Park, KS 66212-2523
Mailing address
3812 W 155TH St
Overland Park, KS 66224-3989
Phone (913) 271-5172
Other practice location 1
3812 W 155th St
Overland Park, KS 66224-3989
Phone (913) 346-6006
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00751 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 03606 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.a. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
4925 S Broadway Ave
Wichita, KS 67216
Phone (316) 227-1989
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": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1760860324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 W 155TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662243989",
"telephone_number": "913-271-5172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 W 107TH ST STE 5",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122523",
"telephone_number": "913-346-6006"
}
],
"practiceLocations": [
{
"address_1": "3812 W 155th St",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662243989",
"country_code": "US",
"telephone_number": "913-346-6006",
"fax_number": "913-538-0266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HA",
"first_name": "HEESEONG",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LCPC, LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "00751",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "03606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.