Individual provider Active NPI

Leslie Tholen, SLP

  • Speech-Language Pathologist
  • Manhattan, KS
National Provider Identifier
1841688025
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3339 Issued in KS
Practice address
1133 College Ave Ste E230
Manhattan, KS 66502-2818
Phone
(785) 587-1825
Fax
(785) 587-1828
NPI assigned
Dec 22, 2014
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3339 KS Primary

Addresses

Primary practice location

1133 College Ave Ste E230
Manhattan, KS 66502-2818

Mailing address

8769 S Kelliann Way
Manhattan, KS 66502-8906
Phone (620) 532-9208

Other identifiers 1

IdentifierTypeStateIssuer
201153290AMedicaidKS

Other names 1

  • Leslie McCutchen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3339KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Care, LLC Speech-Language Pathologist PastSince Nov 21, 2017 Accepting new patients
No Stone Unturned Foundation PastSince Feb 13, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1841688025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8769 S KELLIANN WAY",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665028906",
            "telephone_number": "620-532-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE E230",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022818",
            "telephone_number": "785-587-1825",
            "fax_number": "785-587-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOLEN",
        "first_name": "LESLIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201153290A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MCCUTCHEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.