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KATHERINE NICOLE LEIS LAC
NPI 1598647513
Counselor - Mental Health in Bentonville, AR

Active since July 22, 2025
2205 PHYLLIS ST, BENTONVILLE, AR 72712(479) 725-6000(479) 878-1966 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katherine Nicole Leis Lac NPPES

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

KATHERINE NICOLE LEIS LAC (NPI 1598647513) is an individual mental health provider in Bentonville, Arkansas, licensed in Arkansas (A2507001) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1598647513
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE NICOLE LEISCredential: LAC
Location Address2205 PHYLLIS STBentonville, AR 72712-6490
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020
Phone(479) 725-6000
Fax(479) 878-1966
Sole ProprietorNo
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1598647513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A2507001
2205 PHYLLIS ST, Bentonville, AR 72712
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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.

HAYLEY S FUNK QBHP
Case Manager/Care Coordinator
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 725-6000
SCOTT CHARLES KOENIG MHPP
Genetic Counselor, MS
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 750-2020
EMILY A LANE
Social Worker (Clinical)
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 725-6000
ANGELIKA ALOISIA WILL MHPP
Genetic Counselor, MS
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 750-2020
KRYSTA YOUNG
Counselor
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 750-2020
ELLEN ANN BURLESON MHPP
Counselor
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 750-2020
PATRICIA LOUISE DOUGLAS LAC
Counselor (Mental Health)
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 878-1966
CHRIS ANDRE PULLIAM MHPP
Genetic Counselor, MS
2205 PHYLLIS ST
BENTONVILLE, AR 72712
Benton County (479) 750-2020

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 Katherine Leis's NPI number?

The NPI number for Katherine Leis is 1598647513. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Katherine Leis located?

Katherine Leis practices at 2205 Phyllis St, Bentonville, AR 72712. The listed phone number is (479) 725-6000.

What is Katherine Leis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Katherine Leis was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.