Individual provider Active NPI

Michele Deeter

  • Professional Counselor
  • Lees Summit, MO
National Provider Identifier
1982207353
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2019045708 Issued in MO
Practice address
3721 NE Troon Dr
Lees Summit, MO 64064-1988
Phone
(816) 221-0305
Fax
(816) 221-9121
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2019045708 MO Primary
Professional Counselor 101YP2500X LCPC03876 KS

Addresses

Primary practice location

3721 NE Troon Dr
Lees Summit, MO 64064-1988

Mailing address

PO Box 844383
Dallas, TX 75284-4383
Phone (816) 221-0305

Other practice location 1

1272 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (816) 246-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260529001374 KS Practitioner - Mental Health Counselor 7416427570 Reassigns benefits to 1 organization
I20260529001586 MO Practitioner - Mental Health Counselor 7416427570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lilac Center LLCGroup PAC ID 2961625462, 23 clinicians

Practice addresses (Care Compare)

2029 Buchanan St
Kansas City, MO 64116-3405
Phone (816) 221-0305

3630 SW Burlingame Rd
Topeka, KS 66611-2050
Phone (816) 221-0305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lilac Center LLC CurrentSince Apr 26, 2026 Accepting new patients

Locations

3630 SW Burlingame Rd
Topeka, KS 66611
Phone (785) 337-0308

3721 NE Troon Dr
Lees Summit, MO 64064
Phone (816) 200-0515

2029 Buchanan St
North Kansas City, MO 64116
Phone (816) 221-0305

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1982207353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844383",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844383",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 NE TROON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641988",
            "telephone_number": "816-221-0305",
            "fax_number": "816-221-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 NE Windsor Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640865594",
            "country_code": "US",
            "telephone_number": "816-246-4465",
            "fax_number": "816-524-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEETER",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019045708",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC03876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.