Individual provider Active NPI

Elijah Lorenz Buchholz, LCPC, LCAC, LPC

  • Mental Health Counselor
  • Lees Summit, MO
National Provider Identifier
1942472295
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2018044784 Issued in MO
Practice address
901 NE Independence Ave
Lees Summit, MO 64086-5544
Phone
(816) 347-3222
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 598 KS
Professional Counselor 101YP2500X 2363 KS
Mental Health Counselor 101YM0800X 2018044784 MO Primary

Addresses

Primary practice location

901 NE Independence Ave
Lees Summit, MO 64086-5544

Mailing address

12718 King St
Overland Park, KS 66213-4445
Phone (913) 709-5540

Other practice location 1

20189 W 151st St
Olathe, KS 66061-7231
Phone (913) 709-5540

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
I20250804003733 KS Practitioner - Mental Health Counselor 9931250297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 N Mur Len Rd
Suite 6
Olathe, KS 66062-5416
Phone (913) 489-7002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
598KSMDAddiction (Substance Use Disorder) Counselor
2363KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Heights Counseling and Wellness LLC Addiction (Substance Use Disorder) CurrentSince Jul 22, 2025 Accepting new patients

Locations

601 N Mur Len Rd
Ste 6
Olathe, KS 66062
Phone (913) 390-8719

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1942472295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12718 KING ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134445",
            "telephone_number": "913-709-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NE INDEPENDENCE AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865544",
            "telephone_number": "816-347-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20189 W 151st St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617231",
            "country_code": "US",
            "telephone_number": "913-709-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "ELIJAH",
        "middle_name": "LORENZ",
        "name_prefix": "Mr.",
        "credential": "LCPC, LCAC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "598",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2363",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018044784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.