KATIE N LEIBMAN MA
NPI 1588040109
Counselor - Professional in St Charles, IL

Active since August 05, 2015Opted out of Medicare · through Feb 14, 2028
1120 E MAIN ST, SUITE 201, ST CHARLES, IL 60174(630) 377-6613(630) 377-6225 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie N Leibman Ma NPPES

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

KATIE N LEIBMAN MA (NPI 1588040109) is an individual professional provider in St Charles, Illinois, licensed in Illinois (180009819) and active in the NPI registry since August 2015. She has opted out of Medicare through February 14, 2028.

NPPES Registry Identity

NPI1588040109
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATIE N LEIBMANCredential: MA
Location Address1120 E MAIN ST, SUITE 201St Charles, IL 60174-2287
Mailing Address1120 E Main St, Suite 201St Charles, IL 60174-2287 · (630) 377-6613 · Fax (630) 377-6225
Fax(630) 377-6225
Sole ProprietorNo
Enumeration DateAugust 5, 2015
NPI 1588040109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180009819
1120 E MAIN ST, St Charles, IL 60174

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Katie N Leibman Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 14, 2026 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2026
Opt-Out In Effect ThroughFebruary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 15

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

Counselor (Professional)
1120 E MAIN ST, SUITE 201
ST CHARLES, IL 60174
Counselor
1120 E MAIN ST, ST CHARLES
ST CHARLES, IL 60174
Social Worker (Clinical)
1120 E MAIN ST
ST CHARLES, IL 60174
Psychologist (Clinical)
1120 E MAIN ST, SUITE 201
ST CHARLES, IL 60174
Counselor (Professional)
1120 E MAIN ST, SUITE 201
ST CHARLES, IL 60174
Social Worker (Clinical)
1120 E MAIN ST, STE. 201
ST CHARLES, IL 60174
Counselor (Professional)
1120 E MAIN ST, STE. 201
ST CHARLES, IL 60174
Social Worker (Clinical)
1120 E MAIN ST
ST CHARLES, IL 60174

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 Katie Leibman's NPI number?

The NPI number for Katie Leibman is 1588040109. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Katie Leibman located?

Katie Leibman practices at 1120 E Main St Suite 201, St Charles, IL 60174. The listed phone number is (630) 377-6613.

What is Katie Leibman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katie Leibman enrolled in Medicare?

No. Katie Leibman has opted out of Medicare through February 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katie Leibman was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.