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LESLIE DONNER
NPI 1124688890
Psychologist - Health Service in Paducah, KY

Active since June 16, 2019Accepts Medicare Assignment
2204 KENTUCKY AVE, PADUCAH, KY 42003(270) 777-4490(866) 441-1083 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2023, Nov 13, 2019, Jun 16, 2019 (3 updates tracked since 2019).

About Leslie Donner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE DONNER (NPI 1124688890) is an individual health service provider in Paducah, Kentucky, licensed in Kentucky (115924) and active in the NPI registry since June 2019. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1124688890
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameLESLIE DONNER
Location Address2204 KENTUCKY AVEPaducah, KY 42003-3242
Mailing Address2204 Kentucky AvePaducah, KY 42003-3242 · (270) 777-4490 · Fax (866) 824-4022
Phone(270) 777-4490
Fax(866) 441-1083
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 16, 2019
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1124688890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in KY · 115924
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
2204 KENTUCKY AVE, Paducah, KY 42003
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Other Names 1

Former Name (1)Leslie Page

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leslie Donner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739419250
PECOS Enrollment IDI20240208003728

Medicare Billing Reassignment

Medicare enrollment records show Leslie Donner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Psychological Services LLC
1.6 mi
Psychologist
413 BROADWAY ST UNIT A
Paducah, KY 42001
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1063163442 (618) 727-1913

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WYNN LANCASTER-BROWN MS
Psychologist (Clinical)
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 442-8785
OLIVIA LANGHAM LPCC
Counselor (Professional)
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 777-4490
MR. DOUGLAS DAYNE WELLS M.A., L.P.P.
Psychologist
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 442-8785
LETA JEANETTE NORMAN MED, LPCC
Counselor (Professional)
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 777-4490
KATELYN ELIZABETH RICE ED.S
Counselor (Professional)
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 777-4490
PAM HAINES M.S.
Psychologist
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 442-8785
ALOHA CRISTINA ROMAY M.S.
Psychologist (Clinical)
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 442-8785
KATHRYN WHITE ENGLERT LPCC-S, NBCC
Counselor (Professional)
2204 KENTUCKY AVE
PADUCAH, KY 42003
McCracken County (270) 777-4490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Donner's NPI number?

The NPI number for Leslie Donner is 1124688890. It was assigned to this individual provider in the NPPES registry on June 16, 2019. The provider is also known as Leslie Page.

Where is Leslie Donner located?

Leslie Donner practices at 2204 Kentucky Ave, Paducah, KY 42003. The listed phone number is (270) 777-4490.

What is Leslie Donner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Leslie Donner enrolled in Medicare?

Yes. Leslie Donner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leslie Donner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Donner reassigns Medicare benefits to Integrated Psychological Services LLC (Paducah, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leslie Donner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leslie Donner accept?

Health plans from Anthem Blue Cross and Blue Shield list Leslie Donner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Donner was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.