GENNIFER LEACH – Marriage & Family Therapist, NPI 1528651148

GENNIFER LEACH is a healthcare provider. based in Manhattan, Kansas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 03272 (KS). The NPI Number for GENNIFER LEACH is 1528651148

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
GENNIFER LEACH
NPI
1528651148
Phone
(785) 539-5455
Address
4201 ANDERSON AVE STE D110
Enumeration Date
15 February 2021
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7855395455
Graduation Year
2015 (11 years ago)
PAC ID
9931549839
Group Practice PAC ID
2769574748
Professional Enrollment ID
I20240425001657
Address ID
KS665037603MA4201XAVEX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

163 MARRIAGE AND FAMILY THERAPIST in KS

Provider Addresses for GENNIFER LEACH

  • 4201 ANDERSON AVE STE D110

    MANHATTAN, KS 665037603

    Phone: (785) 539-5455

    Type: Mailing

  • 2001 CLAFLIN RD

    MANHATTAN, KS 665023415

    Phone: (785) 587-4300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240425001657IMarriage And Family TherapistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769574748View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical Social WorkerKS
Marriage And Family TherapistKS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

What is the standard ID for GENNIFER LEACH in the U.S.?
In the U.S., GENNIFER LEACH is identified by NPI 1528651148.
Is GENNIFER LEACH's NPI status active today?
Active status means GENNIFER LEACH's NPI record is not deactivated in the public file.
What services align with GENNIFER LEACH's listing?
GENNIFER LEACH's public classification highlights Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to GENNIFER LEACH?
The directory associates GENNIFER LEACH with Manhattan, Kansas. Check all listed addresses for suites or satellite offices.
Can I export GENNIFER LEACH's record?
You can download the official NPPES record; we summarize key fields for readability.

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