Healthcare Provider Details

I. General information

NPI: 1164923405
Provider Name (Legal Business Name): LEAH KATHRYN FISH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S LINCOLN ST
HILLSBORO KS
67063-1714
US

IV. Provider business mailing address

508 S ASH ST; PO BOX 185
HILLSBORO KS
67063-0185
US

V. Phone/Fax

Practice location:
  • Phone: 620-869-9986
  • Fax: 620-869-9046
Mailing address:
  • Phone: 620-947-3200
  • Fax: 620-947-3845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3226
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC04029
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: