Individual provider Active NPI

Susan Elizabeth Le Dean, MS LPC, LCAC

  • Professional Counselor
  • Lenexa, KS
National Provider Identifier
1841590460
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2152 Issued in KS
Practice address
12351 W. 96TH Terr
Suite 300
Lenexa, KS 66215
Phone
(913) 894-0900
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 252 KS
Professional Counselor 101YP2500X 2152 KS Primary

Addresses

Primary practice location

12351 W. 96TH Terr
Suite 300
Lenexa, KS 66215

Mailing address

703 Claywoods Pkwy
Liberty, MO 64068-4343
Phone (816) 665-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
252KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Counseling Associates of Kansas City LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

100 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-3371

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1841590460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CLAYWOODS PKWY",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640684343",
            "telephone_number": "816-665-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 W. 96TH TERR",
            "address_2": "SUITE 300",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-894-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE DEAN",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "MS LPC, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "252",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.